SHIN

By Gary M. White, MD

Sun-Related

Actinic keratoses, basal cell carcinoma, squamous cell carcinoma and melanoma--the usual suspects from chronic sun exposure.

Blue

Bruise

Minocycline Pigmentation
Minocycline Pigmentation

Lichenified/Thickened

Lichen Amyloidosis
Lichen Amyloidosis

Lichen Simplex Chronicus
Lichen Simplex Chronicus of the Shins

Pretibial Myxedema
Pretibial Myxedema

Nodule(s)

Erythema Nodosum
Erythema Nodosum

See Panniculitis

Defect of the Fascia
picture here

Papules

Flat Warts. Common on the legs of young women.
Flat Warts

Papulopustules

Folliculitis

Majocchi Granuloma
Majocchi Granuloma

Pigmented

Seborrheic Keratosis. Brown papules and plaques, common in older patients.
Seborrheic Keratosis of the Shin
Seborrheic Keratosis of the Shin

Lichen Amyloidosis

Diabetic Shin Spots

Plaque

Necrobiosis Lipoidica
Necrobiosis Lipoidica

Pretibial Myxedema

Vilanova Disease. A painless, erythematous nodule enlarging to a plaque on the lower aspect of one shin in a woman is characteristic of Vilanova disease, also called subacute nodular migratory panniculitis.

Scaly, Red and Scaly

Xerosis. The shins are one of the first places to get dry in the winter, as evidenced here in this older man.
Xerosis of the Shins

Stasis Dermatitis
Stasis Dermatitis

White

Idiopathic Guttate Hypomelanosis
Idiopathic Guttate Hypomelanosis

RegionalDerm

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