HYPERPIGMENTATION OF MALAR AREA, PERIORBITAL SKIN ALONG WITH INVOLVEMENT OF SCLERA.
*Dr Ashish Dalal, Dr Ritambhara Lohan and Muskaan Ahlawat
ABSTRACT
A 18 year old male presented with complaint of asymptomatic, hyper-pigmentation of right side of cheek and both sides of periorbital skin since birth. The pigmentation appeared over both sides of eyelids simultaneously and get extended insidiously to the present size. Bluish pigmentation of sclera was noticed at the age of 6 years. Examination revealed confluent, slate gray hyperpigmented macules over right malar area. Periorbital skin is greenish-blue along with mottled, deep blue pigmentation of sclera of both eyes (Fig 1). There was no significant personal or family history. A biopsy was done from malar area and send for H&E staining (Fig 2).
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