Leaves that leave their mark: A case series of pediatric Piper Betle-induced leukomelanosis.

This case series presents 10 pediatric patients, aged 4 to 9 years, with leukomelanosis on the chest or forehead. The pigmentary changes developed after the traditional use of Piper betle leaves as a home-based remedy for a cough or cold. Piper betle-induced leukomelanosis in children is a rare dermatosis resulting from cultural practices. It is important to recognize the role of ethnobotany in dermatology.