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Photo Quiz

Persistent Hypopigmented Rash

This photo quiz was corrected on March 16, 2026.

Alison Small, MD
Lauryn Orsillo, DO

American Family Physician. 2026;113(3):279-280.

Author disclosure: Dr. Small serves as a researcher for industry-funded trials with AbbVie, Arcutis Biotherapeutics, and LEO Pharma on atopic dermatitis in children. Dr. Orsillo has no relevant financial relationships. [corrected]

ALISON SMALL, MD, Oregon Health & Science University, Portland

LAURYN ORSILLO, DO, Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Lebanon, Oregon

Address correspondence to Alison Small, MD, at smalla@ohsu.edu.

Author disclosure: Dr. Small serves as a researcher for industry-funded trials with AbbVie, Arcutis Biotherapeutics, and LEO Pharma on atopic dermatitis in children. Dr. Orsillo has no relevant financial relationships. [corrected]

  1. 1.Jung JM, Lim DJ, Won CH, et al. Mycosis fungoides in children and adolescents: a systematic review. JAMA Dermatol. 2021;157(4):431-438.
  2. 2.Castano E, Glick S, Wolgast L, et al. Hypopigmented mycosis fungoides in childhood and adolescence: a long-term retrospective study. J Cutan Pathol. 2013;40(11):924-934.
  3. 3.National Cancer Institute. Mycosis fungoides and other cutaneous T-cell lymphomas treatment (PDQ®)–health professional version. Updated February 19, 2025. Accessed February 1, 2026. https://www.cancer.gov/types/lymphoma/hp/mycosis-fungoides-treatment-pdq
  4. 4.Ständer S. Atopic dermatitis. N Engl J Med. 2021;384(12):1136-1143.
  5. 5.Sunenshine PJ, Schwartz RA, Janniger CK. Tinea versicolor. Int J Dermatol. 1998;37(9):648-655.
  6. 6.Bergqvist C, Ezzedine K. Vitiligo: a review. Dermatology. 2020;236(6):571-592.

The editors of AFP welcome submissions for Photo Quiz. Guidelines for preparing and submitting a Photo Quiz manuscript can be found in the Authors' Guide at https://www.aafp.org/afp/photoquizinfo. To be considered for publication, submissions must meet these guidelines. Email submissions to afpphoto@aafp.org.

This series is coordinated by John E. Delzell Jr., MD, MSPH, associate medical editor.

A collection of Photo Quiz published in AFP is available at https://www.aafp.org/afp/photoquiz.

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