An: 2012, Nr.3, Articol Nr. 21
INFLAMMATORY EXTENSIVE SEGMENTAL UNILATERAL NEVUS COMEDONICUS IN AN INFANT
Tatiana Ţăranu, Mihaela Paula Toader - “Gr.T. Popa” University of Medicine and Pharmacy Iasi, Discipline of Oral Dermatology
M. Burlea - “Gr.T. Popa” University of Medicine and Pharmacy Iasi, Department of Pediatrics
T. Ţăranu - “Gr.T. Popa” University of Medicine and Pharmacy Iasi, Department of Anatomy and Embryology
Doina Mihăilă - University Clinical Hospital for Children “Sf. Maria” Iaşi, Department of Pathologic Anatomy
INFLAMMATORY EXTENSIVE SEGMENTAL UNILATERAL NEVUS COMEDONICUS IN AN INFANT (Abstract): Nevus comedonicus is an unusual variant of adnexal hamartoma characterized by comedo like lesions with a linear distribution, first reported by Kofmann in 1895. We present the case of a premature female infant with staturo ponderal hypotrophy, with multiple inflammatory nodular suppurating lesions occurring on comedo like lesions with segmental unilateral distribution. Pathological examination confirmed the clinical diagnosis of nevus comedonicus. The inflammatory lesions had an episodic evolution with bacterial suprainfection that required surgical treatment. Topical treatment consisted of tretinoin cream 0.05% with satisfactory results on the comedo like lesions. The long term prognosis is unpredictable because of the frequent recurrences of bacterial suprainfection in a dystrophic child, due to prematurity and associated malabsorption syndrome.
Key words: HAMARTOMA, EPIDERMAL NEVUS, PILO SEBACEOUS UNIT, ORTOKERATOSIS, KERATOLITIC TREATMENT