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  Indian J Med Microbiol
 

Figure 3: (a) A black papule (thin arrow) and a melanocytic nevus (thick arrow) on the palmar aspect of the right hand, (b) The black papule has an irregular surface with a central depression (arrow), (c) Dermoscopy shows a structureless jet black lesion with a central depression showing red blood on the top (white arrow) surrounded by a collarette at the periphery (black arrow), (d-f) Paring was done by the patient's fingernail resulting in the complete removal of pigmentation both clinically and dermoscopically.

Figure 3: (a) A black papule (thin arrow) and a melanocytic nevus (thick arrow) on the palmar aspect of the right hand, (b) The black papule has an irregular surface with a central depression (arrow), (c) Dermoscopy shows a structureless jet black lesion with a central depression showing red blood on the top (white arrow) surrounded by a collarette at the periphery (black arrow), (d-f) Paring was done by the patient's fingernail resulting in the complete removal of pigmentation both clinically and dermoscopically.