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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 35-year-old woman from Bolivia was in the 37th week of a complication-free second pregnancy&#46; She presented with asymptomatic diffuse areas of hyperpigmentation that had appeared progressively on the lateral and posterior aspects of her thighs and legs to form 2 abrupt&#44; totally symmetric lines on the medial portion of both extremities&#46; The lines formed a clear boundary between the hyperpigmented and normal skin &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46; Of note also was the presence of the linea alba and acanthosis nigricans&#46; The findings led to a diagnosis of type B pigmentary demarcation lines associated with pigmentary changes in pregnancy&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pigmentary demarcation lines are abrupt transition lines that separate areas of hyperpigmentation from areas of normal skin&#46; They were described by Matsumoto in 1913&#46; Their etiology and pathogenesis are unknown&#44; but their distribution appears to follow Voigt lines and could correspond to differences in melanocyte distribution&#44; probably influenced by genetic and hormonal factors&#46; There are 8 subtypes of pigmentary demarcation lines but the most common ones are type B lines associated with pregnancy&#46; They are mostly found in patients with high Fitzpatrick skin types and they affect the lower extremities&#46; Diagnosis is clinical and the lines typically appear during the third trimester and disappear postpartum&#46;</p></span>"
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Images in Dermatology
Type B Pigmentary Demarcation Lines in Pregnancy
Líneas de demarcación pigmentarias tipo B en gestante
J.F. Mir-Bonafé
Autor para correspondencia
jmirb@santpau.cat

Corresponding author.
, S. Planas-Ciudad, E. Rozas-Muñoz, L. Puig
Servicio de Dermatología, Hospital de la Sant Creu i Sant Pau, Barcelona, Spain
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