Abstract
A 20-year-old man presented to our clinic with progressive and asymptomatic mottled hyperpigmentation involving almost the whole of his body, which had been present since he was 8 years of age. The first lesions had appeared on the trunk and hyperpigmentation had extended gradually over the years to involve the neck, face and limbs. He had also noticed spotty hypopigmentation among the hyperpigmented macules.
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