1
|
Yao H, Xiang W. Becker's Nevus on Face Misdiagnosed as Whiskers. Clin Cosmet Investig Dermatol 2024; 17:1071-1073. [PMID: 38745871 PMCID: PMC11093111 DOI: 10.2147/ccid.s466776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Accepted: 05/07/2024] [Indexed: 05/16/2024]
Abstract
Becker's nevus (BN) is a kind of epidermal cutaneous hamartoma. A noticeable hyperpigmented patch with a big, unilateral, hyperpigmented macule and irregularly shaped borders is the manner in which BN often presents. In this case, a 16-year-old boy has asymptomatic dark brown colored follicular macule on the left side of the cheek shortly after birth. The lesions were initially inconspicuous but gradually became darker as time passed. The macules on some of them grew hair. This case of BN with apparent hypertrichosis on one side of the cheek, which made it challenging to make a differential diagnosis with whiskers. The primary point of differentiation is that the lesions of BN only appear unilaterally. On the other hand, the face has whiskers on both sides. Additionally, BN will show hyperpigmentation whereas whiskers do not. In conclusion, for its unusual clinical presentation, we believe that reporting this case may help dermatologists avoid misdiagnosing similar cases.
Collapse
Affiliation(s)
- Huiyi Yao
- Department of Dermatology, Zhejiang Chinese Medical University, Hangzhou Third People’s Hospital, Hangzhou, People’s Republic of China
| | - Wenzhong Xiang
- Department of Dermatology, Hangzhou Third People’s Hospital, Hangzhou Third People’s Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, People’s Republic of China
| |
Collapse
|
2
|
Gaurav V, Ahuja R, Chandra AD, Ahuja S, Bhagwat A, Lal A, Danish M, Khan E, Taneja N. Follicular Becker's nevi: A case series and review of literature. Pediatr Dermatol 2024. [PMID: 38689523 DOI: 10.1111/pde.15641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Accepted: 04/16/2024] [Indexed: 05/02/2024]
Abstract
The follicular variant of Becker's nevus is an under-reported entity. We present the rare occurrence of follicular Becker's nevus in 7 patients, confirmed through dermoscopy and histopathological examination. Dermoscopy shows perifollicular hypopigmentation surrounded by a well-defined net-like pigmentation corresponding clinically to the presence of folliculocentric macules. Histology shows prominent basal and suprabasal melanization surrounding the follicle, corresponding to well-defined net-like pigmentation seen on dermoscopy. However, the melanization does not extend along the entire length of the follicular epithelium leading to perifollicular hypopigmentation on dermoscopy. Though biopsy is confirmatory, it is not usually necessary.
Collapse
Affiliation(s)
- Vishal Gaurav
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Rhea Ahuja
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Akash Deep Chandra
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Sana Ahuja
- Department of Pathology, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Abhishek Bhagwat
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Ankur Lal
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Mohammad Danish
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Ejaz Khan
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Neha Taneja
- Department of Dermatology & Venereology, All India Institute of Medical Sciences, New Delhi, India
| |
Collapse
|
3
|
S A, Wahab AJ, Jacob SM, R VC. Follicular Becker's Nevus: A Case Report of an Uncommon Clinical Variant. Cureus 2024; 16:e58264. [PMID: 38752066 PMCID: PMC11094524 DOI: 10.7759/cureus.58264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 04/13/2024] [Indexed: 05/18/2024] Open
Abstract
Pigmented hairy epidermal nevus, also known as Becker's nevus, has a typical description as a unilateral, hairy in appearance, light to dark brown patch with an irregular but clearly defined border. However, the exact aetiopathogenesis is still poorly comprehended. We report the case of a 19-year-old female who presented with asymptomatic brownish-pigmented macular lesions on the right breast that had slowly increased in size over the past three years. Upon cutaneous inspection, the right breast had 3-5 mm rounded and oval perifollicular macules that ranged from light to dark brown hue without increased hair growth. The macules were discrete and in no particular pattern. Dermoscopy of the lesions showed well-defined perifollicular hypopigmentation surrounded by a pigmented network-like pattern. Histopathology of a punch biopsy taken from one of the follicular lesions demonstrated an increase in basal layer pigmentation with elongation of rete ridges and acanthosis, consistent with Becker's nevus. The patient underwent three sittings of diode laser therapy, once in four weeks, with slight improvement in pigmentation.
Collapse
Affiliation(s)
- Anannya S
- Department of Dermatology, Saveetha Medical College, Chennai, IND
| | | | | | - Vimal Chander R
- Department of Pathology, Saveetha Medical College, Chennai, IND
| |
Collapse
|
4
|
Pangti R, Upadhyaya S, Arava S, Gupta S. Follicular Becker's Nevus: A Relatively New Variant. Indian Dermatol Online J 2022; 14:146-147. [PMID: 36776190 PMCID: PMC9910552 DOI: 10.4103/idoj.idoj_332_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 06/04/2021] [Accepted: 06/06/2021] [Indexed: 12/31/2022] Open
Affiliation(s)
- Rashi Pangti
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Smarika Upadhyaya
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
| | - Sudheer Arava
- Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
| | - Somesh Gupta
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India,Address for correspondence: Dr. Somesh Gupta, Professor, Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi - 110 029, India. E-mail:
| |
Collapse
|
5
|
Ranglani H, Malakar S. Clinical and Dermoscopic Features of Follicular Becker's Nevus: A Rare Variant. Indian Dermatol Online J 2021; 12:750-751. [PMID: 34667764 PMCID: PMC8456253 DOI: 10.4103/idoj.idoj_877_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 02/09/2021] [Accepted: 03/19/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Harshal Ranglani
- Consultant Dermatologist, Cure and Care Polyclinic, Thane, Maharashtra, India
| | - Subrata Malakar
- Consultant Dermatologist, Rita Skin Foundation, Kolkata, Maharashtra, India
| |
Collapse
|
6
|
Sil A, Bhanja DB, Panigrahi A, Biswas SK. Blaschkolinear follicular Becker's nevus. Indian J Dermatol 2021; 66:576. [PMID: 35068543 PMCID: PMC8751726 DOI: 10.4103/ijd.ijd_1024_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Abheek Sil
- Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, Kolkata, West Bengal, India E-mail:
| | - Dibyendu B Bhanja
- Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, Kolkata, West Bengal, India E-mail:
| | - Avik Panigrahi
- Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, Kolkata, West Bengal, India E-mail:
| | - Surajit K Biswas
- Department of Dermatology, Venereology, and Leprosy, R.G. Kar Medical College, Kolkata, West Bengal, India E-mail:
| |
Collapse
|
7
|
Kumar P, Sanke S, Chander R, Nangia A. Becker's Nevus Coexisting with Morphea: A Rare Case Report. Skin Appendage Disord 2020; 7:46-49. [PMID: 33614719 DOI: 10.1159/000510675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 07/31/2020] [Indexed: 11/19/2022] Open
Abstract
Becker's nevus (BN) is an acquired unilateral hyperpigmented hairy macule, whereas morphea is a chronic connective tissue disease of unknown etiology, characterized by skin thickening with increased quantities of collagen in the indurated lesion, usually involving the upper trunk and proximal extremity. The occurrence of both disease in the same anatomical site and individual was not reported previously. We report this rare case in a 17-year-old, Indian girl and was diagnosed after clinical histopathology and dermoscopic correlation. Morphea can be an interesting incidental occurrence within a large plaque of BN.
Collapse
Affiliation(s)
- Pradeep Kumar
- Department of Dermatology & STD, Lady Hardinge Medical College and associated Hospital, Delhi, India
| | - Sarita Sanke
- Department of Dermatology & STD, Lady Hardinge Medical College and associated Hospital, Delhi, India
| | - Ram Chander
- Department of Dermatology & STD, Lady Hardinge Medical College and associated Hospital, Delhi, India
| | - Anita Nangia
- Department of Pathology, Lady Hardinge Medical College and associated Hospital, Delhi, India
| |
Collapse
|