Idiopathic Guttate Hypomelanosis

Etiology
  • Idiopathic
  • Acquired
 
Epidemiology
  • Patients over age 70
  • More common in darker skin types
  • Related to chronic UV exposure
 
Clinical presentation
  • Asymptomatic sharply marginateds porcelain-white macules in sun-exposed areas
  • Favor the extensor forearmes and pretibial lower extremities
 
Treatment
  • Single session of cryotherapy (5 seconds) → can lead to repigmentation