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White Lesion on the Cheeks
Home Clinical Edge Case Series White Lesion on the Cheeks

A 10-year-old girl presents to the clinic with her mother, who has noticed several pale patches on her daughter's face. The mother reports that these patches seem to have appeared gradually over the past few months, becoming more prominent after sun exposure. The young girl is otherwise healthy. The lesions are asymptomatic, with no reported itching or discomfort. No family history of skin disorders or autoimmune diseases. Her vital signs are normal, and her physical examination reveals multiple hypopigmented patches on her cheeks. Patches are round to oval with indistinct borders, ranging from 0.5 to 3 cm in diameter as shown in the image. The overlying skin appears dry, with some fine scaling but no erythema or induration. The accentuation of the hypopigmentation is noted under Wood's lamp, but the rest of the skin examination is unremarkable. Based on the patient's history and current symptoms,

Which of the following is the most likely diagnosis?

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