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Image Number #4628 (Shrapnel's injury)

Diagnosis: Shrapnel's injury

Description: Blackish pigments and scars.

Morphology: Hyperpigmentation

Site: Trunk

Sex: M

Age: 10

Type: Clinical

Submitted By: Nameer Al-Sudany

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Differential Diagnosis

History:

First look to the presented image may give you an impression that this is a case of nevus comedonicus. However, this boy unfortunately had been subjected to shrapnels' (shells) injury caused by a nearby bomb's blast  two months prior to the presentation. On close examination many black dots and spots intermingled with many atrophic scars confined to one side of the anterior trunk. 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Shrapnel's injury"

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