Question:
Identify the following lesion shown in the image.
Identify the following lesion shown in the image.
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A large hyperpigmented hairy patch on a young man's shoulder.
Updated On: Jun 24, 2026
- Becker nevus
- Hypopigmented macule
- Spitz nevus
- Epidermal nevus
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Verified By Collegedunia
The Correct Option is A
Solution and Explanation
Step 1: The lesion shown is a large, unilateral, hyperpigmented patch with overlying coarse hair, typically on the shoulder or upper trunk of an adolescent male. This appearance is characteristic of a Becker nevus.
Step 2: A Becker nevus is a late-onset epidermal nevus (also called Becker melanosis) seen mostly in males. It results from an overgrowth of the epidermis, melanocytes and hair follicles, which explains the brown pigmentation and hypertrichosis.
Step 3: The distractors do not fit. A hypopigmented macule (option b) is pale, not pigmented or hairy. A Spitz nevus (option c) is a small pink-red dome-shaped papule, often on the face of a child. An epidermal nevus (option d) is a verrucous, often linear plaque without the typical hair-bearing pigmented patch. Hence the answer is Becker nevus (option a).
Step 2: A Becker nevus is a late-onset epidermal nevus (also called Becker melanosis) seen mostly in males. It results from an overgrowth of the epidermis, melanocytes and hair follicles, which explains the brown pigmentation and hypertrichosis.
Step 3: The distractors do not fit. A hypopigmented macule (option b) is pale, not pigmented or hairy. A Spitz nevus (option c) is a small pink-red dome-shaped papule, often on the face of a child. An epidermal nevus (option d) is a verrucous, often linear plaque without the typical hair-bearing pigmented patch. Hence the answer is Becker nevus (option a).
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