What's your diagnosis? Familial dyspigmentation on the dorsal hands and feet

Abstract

Patients often present with clinical skin features that may resemble a variety of similar but distinct conditions. A 41-year-old Asian woman was referred to the dermatology clinic for evaluation of dyspigmentation on the hands and feet that was first noted at the age of 6 years. Physical examination revealed a combination of hyper- and hypopigmented macules involving the dorsal aspects of her distal extremities. Copyright © 2013 Dermatology Nurses' Association.