Hutchinson's melanotic freckle (lentigo maligna) is a well-known pigmented 
lesion, usually seen on the face of white patients. It may be associated with 
invasive malignant melanoma. This paper reports the incidence of this lesion in 
association with invasive malignant melanomas of the feet and hands of Black 
Africans. In Blacks, as in Whites, malignant melanoma with adjacent Hutchinson's 
melanotic freckle carries a considerably better prognosis than other 
histogenetic patterns of malignant melanoma.