Case 341

Medical history

A 52-year-old male patient sought specialized outpatient care complaining of "clear spots" in the face region, which was progressive, with an increase in lesion size, about 2 months ago. He has no comorbidities. At the physical examination, hypochromic spots, sometimes pinkish, of varying size on the face and hypochromic spot associated with leukotriquia in the axillary region, not previously observed by the patient, are evident. Lesions do not show scaling or altered sensitivity.

 

Question

Based on the clinical history and images presented, which diagnosis is most likely?

 

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