Derm Dx: Elderly man with blue-gray pigmentation

by Kristy Fleming, MD

An 87-year-old man presented to the dermatology clinic concerned about a gradual darkening of his bilateral lower extremities. The patient reported that he began developing blue-gray macules a few months prior to presentation. The lesions have slowly continued to progress and do not spontaneously resolve. He denied pain, pruritus or known trauma to his legs.

The ...