Department of Dermatology, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, 442001, India.
F1000Res. 2024 Apr 8;12:1514. doi: 10.12688/f1000research.142548.2. eCollection 2023.
Epidermal nevus sebaceous, commonly known as the nevus sebaceous of Jadassohn, is a congenital sebaceous hamartoma. It typically manifests as a single yellowish plaque across the head and neck and is composed of sebaceous glands. It commonly occurs during infancy and grows during puberty. Usually, it follows a benign course; however, in a few cases, it can be malignant. This is the case of a 13-year-old child with verrucous plaques on the temple and scalp.
We report the case of a 13-year-old boy with a steadily developing hyperpigmented verrucous plaque on the scalp and ipsilateral side of his face. A dermoscopic examination revealed ridges and fissures in a cerebriform pattern with yellowish-gray globules and a papillary appearance. Physical examination and laboratory tests revealed no abnormalities. Biopsies were taken from the scalp and temple area, and the findings were consistent with the diagnosis of nevus sebaceous. The patient was referred to a plastic surgeon for a staged excision.
We describe a unique example of a sebaceous nevus that affected the scalp and ipsilateral side of the face. As this hamartomatous growth carries the risk of cancer development, a dermatologist must identify the condition and begin treatment before malignant transformation occurs. This example of multiple verrucous plaques is an exception.
皮脂腺痣，俗称 Jadassohn 皮脂腺痣，是一种先天性的皮脂腺错构瘤。它通常表现为横跨头部和颈部的单个淡黄色斑块，由皮脂腺组成。它通常在婴儿期出现，并在青春期生长。通常，它遵循良性过程；然而，在少数情况下，它可能是恶性的。这是一个 13 岁儿童的病例，他的太阳穴和头皮上有疣状斑块。
我们报告了一例 13 岁男孩，其头皮和面部同侧逐渐出现色素沉着性疣状斑块。皮肤镜检查显示出脑回状模式的脊和裂，伴有黄灰色的球状物和乳头状外观。体格检查和实验室检查均未见异常。从头皮和太阳穴区域取活检，结果符合皮脂腺痣的诊断。患者被转介给整形外科医生进行分期切除。
我们描述了一个独特的皮脂腺痣病例，它影响头皮和面部同侧。由于这种错构瘤生长有癌症发展的风险，皮肤科医生必须在恶性转化发生之前识别出这种情况并开始治疗。这种多发性疣状斑块的情况是一个例外。
