title: Diagnosis and management of facial pigmented macules.
abstract: The differential diagnosis of pigmented macules on the mottled chronic sun-damaged skin of the face is challenging and includes lentigo maligna (LM), pigmented actinic (solar) keratosis, solar lentigo, and lichen-planus-like keratosis. Although dermatoscopy improves the diagnostic accuracy of the unaided eye, the accurate diagnosis and management of pigmented facial macules remains one of the most challenging scenarios in daily practice. This is related to the fact that pigmented actinic (solar) keratosis, lichen-planus-like keratosis, and LM may reveal overlapping criteria, making their differential diagnosis clinically difficult. For this reason, practical rules have been introduced, which should help to minimize the risk for inappropriate diagnosis and management of LM.
authors: Skin Cancer Unit, Arcispedale Santa Maria Nuova, Istituto di Ricovero e Cura a Carattere Scientifico, Viale Risorgimento 80, 42100 Reggio Emilia, Italy.
authors: Aimilios
authors: A
authors: Lallas
authors: Giuseppe
authors: G
authors: Argenziano
authors: Elvira
authors: E
authors: Moscarella
authors: Caterina
authors: C
authors: Longo
authors: Vito
authors: V
authors: Simonetti
authors: Iris
authors: I
authors: Zalaudek
mesh_terms: D046169:Dermoscopy; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000628:therapy; D005153:Facial Neoplasms / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D018327:Hutchinson's Melanotic Freckle / Q000175:diagnosis* / Q000628:therapy; D017495:Hyperpigmentation / Q000473:pathology; D055623:Keratosis, Actinic / Q000175:diagnosis* / Q000628:therapy; D007911:Lentigo / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000628:therapy; D013472:Sunlight / Q000009:adverse effects