Manikavachakan Narender, Siddaraju Maheshwari Nallur, Rajendran Sarangapani Chakrapani, Venkataraman Aniketh
Department of Plastic Surgery, St Johns' Medical College and Hospital, Bengaluru, Karnataka, India.
J Cutan Aesthet Surg. 2018 Jan-Mar;11(1):33-37. doi: 10.4103/JCAS.JCAS_122_17.
Nevus comedonicus is a rare epidermal abnormality of the pilosebaceous unit, which is congenital in most patients but may also appear early in childhood. It may be localized or have an extensive involvement, the latter showing a unilateral predominance with only a few cases presenting bilaterally. Extensive nevus comedonicus can be associated with musculoskeletal defects, eye and neurological involvement, which constitutes nevus comedonicus syndrome. Uncomplicated nevus comedonicus can be treated with topical keratolytics, diode, erbium laser, and ultrapulse CO laser. Surgical excision can be performed to ensure complete removal and nonrecurrence. This case report refers to a young male patient with extensive nevus comedonicus present over left chest, left axilla, and left upper back without systemic involvement, treated with staged surgical excision and resurfacing.
粉刺痣是一种罕见的毛囊皮脂腺单位的表皮异常，大多数患者为先天性，但也可能在儿童早期出现。它可以是局限性的，也可能广泛累及，后者表现为单侧为主，仅有少数双侧病例。广泛的粉刺痣可伴有肌肉骨骼缺陷、眼部和神经系统受累，这构成了粉刺痣综合征。单纯性粉刺痣可用外用角质剥脱剂、二极管、铒激光和超脉冲CO2激光治疗。可进行手术切除以确保完全切除且不复发。本病例报告涉及一名年轻男性患者，其左胸部、左腋窝和左上背部出现广泛的粉刺痣，无全身受累，采用分期手术切除和皮肤磨削术治疗。
