Any adult with black spots on the back should have a full skin examination by a dermatologist at least once, with baseline dermoscopic photos. Self-monitoring with the ABCDE rule is useful, but professional evaluation is irreplaceable.
Cambia de (tiene varios tonos de negro, marrón o incluso azul). Su diámetro es mayor a 6 mm. Pica, duele o sangra . manchas negras en la espalda
| Condition | Shape | Surface | Color | Evolution | Itch/Pain | |-----------|-------|---------|-------|-----------|------------| | Solar lentigo | Flat, round | Smooth | Uniform dark brown/black | Stable | No | | Seborrheic keratosis | Stuck-on, round | Warty, rough | Black/brown | Slow growth | No | | Dermatosis papulosa nigra | Small papule | Smooth | Jet black | Stable | No | | Acanthosis nigricans | Plaque | Velvety | Dark brown/black | Progressive | No | | PIH | Macule | Flat | Variable | Fades slowly | No (after healing) | | Melanoma | Irregular | Smooth or nodular | Variegated | Rapid change | Possible itching/bleeding | Any adult with black spots on the back