A pigmented macule about the nose: what is your diagnosis? The differential diagnosis of pigmented macules of the real face can be challenging. Dermoscopy may help, and adding confocal microscopy boosts sensitivity and specificity; histopathology, however, remains the gold standard. Case presentation A guy in his 60s presented for a full skin check. He previously heavily sun-damaged skin and a past history of lentigo maligna on the nasal area that was treated three years ago with cryotherapy and imiquimod.Older people who may be easily confused could take the wrong medication because the undesirable or expired medication wasn’t removed, Officer Rebecca Kessler, of the Derry Township Police Department, said in a university news release. Prescription substance abuse is increasing in the usa, based on the U.S. Drug Enforcement Administration . Removing old medications from the house prevents folks from using someone else’s prescription, the DEA explained. Having old prescriptions in the house makes people a target for those seeking to steal drugs also, Kessler pointed out.