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Speckled Acral Hypopigmentation: A New Pigmentary Disorder or an Unknown Presentation of a Known Disorder?

182 Indian Dermatology Online Journal | Volume 10 | Issue 2 | March-April 2019 Sir, Reticulate pigmentary disorders are a broad group of pigmentary disorders with significant overlap, often posing a diagnostic challenge due to variable phenotypic expression of similar gene defects. The acral reticulate pigmentary disorders described so far including reticulate acropigmentation of Kitamura, Dowling–Degos disease, and acropigmentation of Dohi are characterized by the presence of hyperpigmented macules with or without hypopigmented lesions. Here, we describe a patient presenting with only hypopigmented macules in a speckled pattern on acral sites.