Jumping straight to the most aggressive options (stopping the medication or demanding a dose reduction) before trying basic management strategies means potentially giving up significant health benefits for a problem that had a simple solution
These include eczema, dermatitis (contact, atopic, seborrheic, nummular), tinea, lichen planus, lichen simplex, pityriasis rosea, cutaneous lupus erythematosus, syphilis, drug reactions, squamous cell carcinoma in situ, and mycosis fungoides (cutaneous T-cell lymphoma) (Armstrong 2014
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With maturity, the nevus can have variation in color, and the surface might be textured with proliferative growths
10.1371/journal.pone.0103443 2 AshrafiG.SchwarzT