![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEhBBtu3nWbQhUw-YZ8TsaSWE16HzdAPSo0igQTbB8byA7C1Blhw6LUPZnsf1Uxrq7xeHE2E4Te4zFl_x1Iw95V-OSq5g-rscV0JPXMT-o7eejgI2hUNF09ABr7S5TCga8jI6ZgLDfUn8/s400/VL1.jpg)
This patient presented an enlarging pigmented lesion on her back for 2 years.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg5aHE9X02L7FvkdlqsMJdzCuvwmRhsB54u_7ONlGX6HD3RDNJAQF8YWYxqHbXpF7yLOeXMJM9lIaryOw78Vf7njPzcj8bnm2_6fpn0Do80z-IgIDKZYuSEVMEj580qtpk0rATiKpaZ31g/s400/VL2.jpg)
Dermoscopy: lack of pigmented network, sharp borders, comedo-like openings and many milia-like cysts were in favor of a a seborrheic keratosis.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAEAz2HwHFDMEvwgP440Ot3TZ6LyaB8JXD58LDUKjbYBdapFaHbnpg1muPmhFr6t2Bbnj_iGdJy7v1K_CfWG4SkuvMxtFpWMBOG-w8maTVBXchKavjVyKSj5N0a8z9Fp69EGLYbP7YZt4/s400/voie+lactee+ks3.jpg)
Many milia-like cysts like stars in the sky are typically found in seborrheic keratoses.