An unusual case of acquired facial pigmentation
BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m3388 (Published 28 October 2020) Cite this as: BMJ 2020;371:m3388
- Patrick Bryan, core medical trainee,
- Antonia Lloyd-Lavery, consultant dermatologist
- Department of Dermatology, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
- Correspondence to: P Bryan patrick.bryan{at}wales.nhs.uk
A woman in her 70s presented to the dermatology clinic with a two year history of blue-grey hyperpigmentation on her face, which symmetrically involved her forehead, eyelids, cheeks, nose, and perioral skin (fig 1). Similar blue-grey discoloration was noted on her gingiva (fig 2).
Marked discoloration to the eyebrows, forehead, cheeks, and perioral skin
Blue-grey discoloration also involving the gingiva
The patient had had rosacea since her late teens, for which she had been taking oral minocycline intermittently for more than 20 years. Three months before this presentation she was advised to stop the minocycline because it was …
Log in
Log in using your username and password
Log in through your institution
Subscribe from £184 *
Subscribe and get access to all BMJ articles, and much more.
* For online subscription
Access this article for 1 day for:
£50 / $60/ €56 (excludes VAT)
You can download a PDF version for your personal record.