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Dermatology Online Journal

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Symmetric facial macules in an Asian woman

  • Author(s): Gaufin, Meredith
  • DiLorenzo, Ashley
  • Deng, Min
  • DeWitt, Christine
  • Cardis, Michael
  • et al.
Creative Commons 'BY-NC-ND' version 4.0 license

Hori nevus, also known as acquired bilateral nevus of Ota-like macules, is a form of dermal melanocytosis found most commonly in women of East Asian heritage. It presents as discrete brown macules on the bilateral cheeks which later coalesce into confluent grey-brown macules and small patches. Herein, we report a classic case of Hori nevus and discuss the histologic findings and differential diagnosis. We also review the proposed pathophysiology, genetic considerations, and treatment options.

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