Postpartum Hyperpigmentation in a 35-Year-Old Woman: A Clinical Case Presentation
By
Grace Rabinowitz, BA1; Arianna Strome, MD2; Avrom S. Caplan, MD2
Summary
A 35-year-old Black woman of Hispanic ethnicity presented 4 months postpartum with hyperpigmented lines on her lower extremities that developed during the third trimester of pregnancy. The lesions were symmetrically distributed, well-demarcated, non-pruritic, and non-painful, extending from the buttocks to the lower extremities. They lightened slightly after delivery. The patient had a history of hypertension, obesity, and headaches, but no history of dermatologic conditions or linea nigra. Physical examination was otherwise unremarkable.
Source

Key quotes
· 3 pulledShe noticed areas of hyperpigmentation on both lower extremities, which lightened slightly after delivery.
She reported no pruritus or pain and had no history of dermatologic conditions or linea nigra.
A 35-year-old Black woman of Hispanic ethnicity with a history of hypertension, obesity, and headaches presented to the dermatology department 4 months post partum for evaluation of pigmentary changes on her legs.
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