• July 11, 2025

Hypopigmented and Atrophic Patch on Neck

March 24, 2023

Presenter:  Francisca Valenzuela, MD, Thomas L Davis, MD, Michael Hohnadel, DO

Dermatology Program: South Texas Dermatology Residency, HCA Healthcare Corpus Christi Medical Center – Bay Area Program

CHIEF COMPLAINT:  “I have a pale spot on my neck”

CLINICAL HISTORY: A 14-year-old Hispanic female with a history of acne vulgaris presents to our clinic with concern for a hypopigmented, atrophic patch on the left side of her neck. Per the patient’s mother, she first noticed the lesion when she took the patient to the pediatrician a few days prior to this visit. The patient tried topical benzoyl peroxide-clindamycin gel on the spot that was prescribed for her back acne. She denied itching, pain, or systemic symptoms. She also denies recent travel, sick contacts, excessive sweating, smoking, alcohol, or illicit drug use. Patient denies any personal or family history of skin cancer. 

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Two Brown Spots on the Left Hand

October 24, 2002

Presenter: Matthew Muellenhoff , DO, Thi Tran, DO, Frank Armstrong , DO, Kathleen Soe, DO, Greg Houck, DO, Marya Cassandra, DO

Dermatology Program: Sun Coast Hospital, NOVA Southeastern University Dermatology Program

CHIEF COMPLAINT:  Two Brown Spots on the Left Hand

CLINICAL HISTORY: The patient reported a 5-year history of two brown spots on the left hand. Initially, the lesions were blue and attributed to ink stains although the patient denied contact with any staining chemicals or dyes. The “spots” increased in size over a two-year period and changed from blue to brown in color. She denied recent travel and had no history of skin cancer or atypical nevi. Family history revealed a brother with a history of melanoma. Her medications included premarin and glucosamine and she denied any allergies.

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Presented by the South Texas Dermatology Residency Program

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