52, female, Caucasian

asymptomatic macules that have developed on her trunk and arms over the past few months. Initially, the lesions were red but gradually became more brownish. She denies any pruritus (itching) or other systemic symptoms like fever or weight loss. No medical history, No family history

macules on the chest, back, and arms that have slowly darkened over time. • Lesions are not itchy or painful. • No other complaints of skin lesions elsewhere or systemic symptoms like fever, joint pain, or fatigue.

Macules: Small, round, or oval red-brown to purple macules (1–2 cm in size) with smooth borders. These macules are primarily seen on the chest, upper back, and upper arms.

• No scarring or atrophy is noted in the involved skin areas. • The skin around the macules is normal with no signs of inflammation or ulceration.

chest, upper back, and upper arms.

Superficial perivascular lymphocytic infiltration, a feature that may be seen in conditions like erythema annulare or other benign erythematous dermatoses. o No signs of vasculitis or deeper dermal involvement.

Pityriasis Rosea - tinea versicolor- lichen Planus Lupus erythematosus

Jadassohn-Pellizzari Macular Erythematosus,

Topical corticosteroids may be used to reduce inflammation if there is any mild pruritus or discomfort. • Regular follow-up visits to monitor the progression and ensure no unusual changes in the lesions.