Figure 1 Lips of a 9-year-old male Indigenous patient with a Fitzpatrick Scale Score of IV (Rarely burn, tan more than average with ease). (A) Photograph of the clinical physical findings of desquamation on the lower lip. (B) Digital dermatoscopic photograph showed a white-red background color, monomorphous vessels pattern, and linear-irregular vessel morphology on the lower lip. (C) Photomicrograph of the lip biopsy with skin changes seen on dermoscopy. The histology shows increased basal cells and hyperplasia of the epidermis and parakeratosis of the surface keratin layer. Hematoxylin and eosin. Magnification ×40.