On examination: This is a healthy appearing child. He does have a raspy cough. He has 5 to 7 mm in diameter hyperpigmented macules scattered over the arms and legs. Some of these lesions have a so much angular outline.
The patient's mother is a
neighbor who lives about a one minute walk
from my house, so they walked over and I took a look.
My
initial thoughts are that this may be the onset of vitiligo, The lesions are larger than itiopathic guttate hypomelanosis; but if this occurs in children it must be very rare.
Your thoughts will be appreciated. Should any tests be done at this time?
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