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面部贝克痣被误诊为胡须。

Becker's Nevus on Face Misdiagnosed as Whiskers.

作者信息

Yao Huiyi, Xiang Wenzhong

机构信息

Department of Dermatology, Zhejiang Chinese Medical University, Hangzhou Third People's Hospital, Hangzhou, People's Republic of China.

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.

出版信息

Clin Cosmet Investig Dermatol. 2024 May 10;17:1071-1073. doi: 10.2147/CCID.S466776. eCollection 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.

摘要

贝克尔痣(BN)是一种表皮皮肤错构瘤。BN通常表现为一个明显的色素沉着斑,伴有一个大的、单侧的色素沉着斑疹,边界不规则。在本病例中,一名16岁男孩出生后不久左侧脸颊出现无症状的深褐色毛囊斑疹。病变最初不明显,但随着时间推移逐渐变深。其中一些斑疹上长出了毛发。本病例中脸颊一侧明显多毛的BN,使得与胡须进行鉴别诊断具有挑战性。主要鉴别点在于BN的病变仅单侧出现。另一方面,面部两侧都有胡须。此外,BN会出现色素沉着,而胡须则不会。总之,由于其不寻常的临床表现,我们认为报告该病例可能有助于皮肤科医生避免误诊类似病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/597e/11093111/5df5bb6d6140/CCID-17-1071-g0001.jpg

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