Pigmentation skin disorders Quiz: Ace Your Exams
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A 20-year-old woman comes to her outpatient provider for evaluation of a mole on the left arm. The patient first noticed the mole 3 years ago and reports that it has not changed in size. The lesion is neither painful nor pruritic. Medical history is notable for asthma, for which she intermittently uses an albuterol inhaler. Her father was recently diagnosed with melanoma. She is part of her university’s cross-country team and has had several episodes of sunburn over the past year. Temperature is 37.6°C (99.7°F), blood pressure is 115/71 mmHg, and pulse is 67/min. Examination of the patient’s left upper arm reveals the following finding:

Reproduced from: Wikimedia Commons
The lesion is flat and soft to palpation. Cardiac, pulmonary, and abdominal examinations are noncontributory. Which of the following best describes the pathophysiology of the patient’s skin finding?

Reproduced from: Wikimedia Commons
The lesion is flat and soft to palpation. Cardiac, pulmonary, and abdominal examinations are noncontributory. Which of the following best describes the pathophysiology of the patient’s skin finding?
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