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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A healthy&#44; 2-month-old&#44; full-term male infant presented with diffuse periungual hyperpigmentation on the fingers that had appeared 1 month earlier&#46; The infant&#8217;s mother reported that she had not experienced any episodes of inflammation or scratching during pregnancy&#44; nor had she been treated with any drugs&#46; The infant had no lesions on the feet or the oral or genital mucosa&#46; He was diagnosed with hyperpigmentation of the distal phalanges&#46; No treatment was administered and the benign and transitory nature of this condition was explained to the family &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Hyperpigmentation of the distal phalanges in newborns is a transient benign dermatosis of childhood that is common in black&#44; but not white&#44; children&#46; It consists of periungual hyperpigmentation of the fingers and&#44; occasionally&#44; the toes&#44; in the absence of other diseases&#46; It usually appears between 2 and 6 months of age in full-term newborns and disappears between 1 and 2 years of age&#44; although in some cases it can persist longer&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">The pigmentation is enhanced under a Wood lamp&#44; suggesting involvement of the most superficial layers of the skin&#46; Histology shows an increase in the amount of melanin&#44; but no increase in the number of melanocytes&#46; There has been some speculation about a role of maternal hormones in this condition&#44; although the reason why this particular location is affected is unknown&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Given the scarce literature on this condition&#44; it is important to be familiar with this entity to ensure conservative management and reassure parents&#46;</p></span>"
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Images in Dermatology
Hyperpigmentation of the Distal Portion of the Fingers in a White Infant
Hiperpigmentación de falanges distales en lactante caucásico
D. Nieto Rodríguez
Autor para correspondencia
dnr348@gmail.com

Corresponding author.
, A.I. Rodríguez Bandera, M. Feito Rodríguez
Servicio de Dermatología, Hospital Universitario La Paz, Madrid, Spain
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