Diagnosis and management of facial pigmented macules

Aimilios Lallas, Giuseppe Argenziano, Elvira Moscarella, Caterina Longo, Vito Simonetti, Iris Zalaudek

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)94-100
Number of pages7
JournalClinics in Dermatology
Issue number1
Publication statusPublished - Jan 2014

ASJC Scopus subject areas

  • Dermatology


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