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    Adult Skin Problems

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    Amiodarone

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    Drug-induced pigmentation: amiodarone. A striking slate-gray pigmentation in a photodistribution of the face. The blue color (ceruloderma) is due to the deposition of melanin and lipofuscin contained in macrophages and endothelial cells in the dermis. The pigmentation is reversible, but it may take up to a year or more to complete resolution. In this patient it took 33 months for the ceruloderma to disappear.

    Fitzpatrick’s Color Atlas & Synopsis of Clinical Dermatology
    Klaus Wolff, Richard Allen Johnson, Dick Suurmond
    Copyright 2005, 2001, 1997, 1993 by The McGraw-Hill Companies. All Rights reserved.

    WebMD Image Collection

    Reviewed by Varnada Karriem-Norwood, MD on October 24, 2014

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