Diagnosis: Shrapnel's injury
Description: Blackish pigments and scars.
Morphology: Hyperpigmentation
Site: Trunk
Sex: M
Age: 10
Type: Clinical
Submitted By: Nameer Al-Sudany
Differential DiagnosisHistory:
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.