Linear nevus comedonicus with epidermolytic hyperkeratosis

Journal of Cutaneous Pathology
Amy K SchecterLeslie Robinson-Bostom

Abstract

Nevus comedonicus (NC) is rarely associated with the histopathologic pattern of follicular epidermolytic hyperkeratosis (EHK). We found eight cases reported. In one case, the condition was transmitted to the offspring in the form of generalized EHK. We describe a case of linear NC with EHK in a 46-year-old woman. Histopathologic examination revealed the typical features of NC. Additionally, the follicular epithelial walls showed EHK with characteristic perinuclear vacuolization in the stratum spinosum and stratum granulosum and large, irregular keratohyalin granules in the granular cell layer. The clinical and histopathologic features of this case are consistent with a diagnosis of linear NC with EHK. Lesions of NC suspected by clinical exam should be examined microscopically to look for features of EHK. If present, patients should be educated about the risk, albeit rare, of passing on a more severe form of the disorder to subsequent generations.

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Citations

Aug 20, 2009·Pediatric Dermatology·Pristine LeeBari Cunningham
Sep 10, 2010·Pediatric Dermatology·Aparna Sinha, Sivakumar Natarajan
Jul 21, 2011·Indian Journal of Dermatology·Naser Tayyebi MeibodiZari Javidi
May 19, 2007·Clinical and Experimental Dermatology·K K GuldbakkeB Sina
Mar 27, 2007·Journal of Cutaneous Pathology·Ichiro KurokawaAiro Tsubura
Nov 22, 2018·The American Journal of Dermatopathology·Ramona ZannielloFranco Rongioletti
Nov 7, 2020·The American Journal of Dermatopathology·Biswanath BeheraDebasis Gochhait

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