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Clinical Quiz September 2025 (deadline: 20 November 2025)

A 16-year-old boy presented with a hyperpigmented patch over his left chest since puberty
Dr. Adrian KC Cheng

Readers are invited to participate in the Clinical Quiz*. Simply answer the question, fill in the reply slip and return it to the College by 20 November 2025. Each reader is allowed to submit one entry only. 


*Note: There would be no prize award for this issue while sponsorship for Clinical Quiz has been ended in September 2020 issue. The answer of the Clinical Quiz for this issue will be announced in the next issue. Thank you for your support.


Clinical history:

A 16-year-old boy presented with a hyperpigmented patch over his left chest since puberty. Examination showed a brownish patch to thin plaque with irregular borders and mild hypertrichosis over his left upper chest. There were also a few superimposed acneiform papules. Dermoscopy showed a well-defined pigment network with uniform thickness of lines and perifollicular hypopigmentation.


What is the diagnosis?



A. Becker melanosis
B. Congenital melanocytic nevus
C. McCune-Albright syndrome
D. Neurofibromatosis

The slide and the question were prepared by:

Dr. Adrian KC Cheng, MBBS(HK), MRCP(UK), MSc GEOR (CUHK), FHKCP, FHKAM (Medicine)

Specialist in Dermatology & Venereology;

Associate Consultant,

Division of Dermatology, Department of Medicine, Queen Mary Hospital, Hong Kong SAR


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