Salt-and-pepper appearance with supravenous pigment retention in systemic sclerosis.

We read with great interest a recent article  in Clinical and Experimental Dermatology that found up to 40% of patients with systemic sclerosis and salt-and-pepper appearance had sparing of the skin folds and creases. Herein we present a case with pigment retention over the frontal branches of superficial temporal vessels, as an important complement to the 'sparing phenomenon' stated in the original paper.