Workman Meredith, Sawan Kamal, El Amm Christian
Division of Plastic Surgery, Department of Surgery, Oklahoma University Health Science Center, Oklahoma City, Oklahoma.
Pediatr Dermatol. 2013 Nov-Dec;30(6):e166-8. doi: 10.1111/j.1525-1470.2012.01781.x. Epub 2012 Sep 18.
Vitiligo associated with halo congenital melanocytic nevus (CMN) is rare. There are limited reports in the literature, especially with regard to CMN excision. We present the case of a 5-year-old girl who presented with vitiligo of the periorbital and axillary regions and halo formation around CMN of the buttock. The lesion was excised, and all areas of vitiligo improved, but 18 months postoperatively, a halo of depigmentation appeared around the excision scar and later in the periorbital and axillary regions. In review of literature, there is only one report of excision of halo CMN and resultant improvement of vitiligo. Although initial resolution of vitiligo in this case was promising, the recurrence indicates that this complex process is not reliably controlled with excision of the inciting lesion.
白癜风合并晕痣型先天性黑素细胞痣（CMN）较为罕见。文献报道有限，尤其是关于CMN切除方面。我们报告一例5岁女孩，其眶周和腋窝区域出现白癜风，臀部CMN周围有晕圈形成。病变被切除，所有白癜风区域均有改善，但术后18个月，切除瘢痕周围以及后来在眶周和腋窝区域出现色素脱失晕。经文献检索，仅有一篇关于晕痣型CMN切除及白癜风随之改善的报道。尽管该病例中白癜风的初步消退很有希望，但复发表明，切除诱发病变并不能可靠地控制这一复杂过程。
