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Pigmented macules on the hands and lower lip

BMJ 2022; 377 doi: (Published 18 May 2022) Cite this as: BMJ 2022;377:e068335
  1. Matthew Nicol, internal medical trainee,
  2. Collette McCourt, consultant
  1. Department of Dermatology, Belfast City Hospital, Belfast, UK
  1. Correspondence to: M Nicol matthew.nicol{at}

This is the left hand and lower lip of a man in his 60s with Laugier-Hunziker syndrome (fig 1).

Fig 1

He presented to the dermatology department with an 18 month history of pigmented macules on his hands and lower lip that had appeared gradually. He was retired and had well controlled eczema on his …

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