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Minerva

Hyperpigmentation of the legs

BMJ 2024; 386 doi: https://doi.org/10.1136/bmj-2023-077404 (Published 26 September 2024) Cite this as: BMJ 2024;386:e077404
  1. Marion Leahy, registrar,
  2. Angela Alani, consultant
  1. Department of Dermatology, University Hospital Galway, Ireland
  1. Correspondence to: M Leahy Marionleahy12{at}gmail.com

This image shows mottled blue-grey hyperpigmentation on the legs of a woman in her late 50s with a history of systemic lupus erythematosus (fig 1). Her daily drug regimen included hydroxychloroquine, mepacrine, and deltacortril. A skin biopsy sample showed pigment in the dermis. Perls …

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