White Lesions on the Hands and Lower Extremities

Alexander K.C. Leung, MBBS; Benjamin Barankin, MD


Am Fam Physician. 2019;99(2):125-126. 

In This Article

Abstract and Introduction


A 16-year-old girl presented with asymptomatic, white lesions on the hands and lower extremities. The lesions were first noted five years earlier and had slowly increased in size. There was no family history of a similar skin disorder or autoimmune disease.

Physical examination revealed well-demarcated, chalk-white macules and patches on the dorsum of the hands (Figure 1) and extensor aspects of the legs.

Figure 1.