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Article Synopsis
  • Facial melanoses (FM) and dermal melanocytoses (DM) pose significant diagnostic and treatment challenges, exemplified by a case that doesn't fit established classifications.
  • The case initially mimicked Ota nevus but was eventually identified as acquired bilateral nevus of Ota-like macules (ABNOM), which is often underdiagnosed, especially in Asian populations and children.
  • Correct classification is crucial for accurate epidemiology and treatment options since responses to laser therapy and melanoma risks differ between Ota nevus and ABNOM, highlighting the need for further research into their shared genetic mutations.
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