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LETTER TO EDITOR
Year : 1999  |  Volume : 65  |  Issue : 6  |  Page : 302

Inflammatory linear verrucous epidermal nevus and spinal anomaly




Correspondence Address:
N A Madnani


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Source of Support: None, Conflict of Interest: None


PMID: 20921697

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How to cite this article:
Madnani N A, Misra B K. Inflammatory linear verrucous epidermal nevus and spinal anomaly. Indian J Dermatol Venereol Leprol 1999;65:302

How to cite this URL:
Madnani N A, Misra B K. Inflammatory linear verrucous epidermal nevus and spinal anomaly. Indian J Dermatol Venereol Leprol [serial online] 1999 [cited 2019 Aug 22];65:302. Available from: http://www.ijdvl.com/text.asp?1999/65/6/302/4851


To the Editor:

Inflammatory linear verrucous epidermal nevus (ILVEN) is a rather uncommon dermatosis that is unilat­eral, localized, pruritic and usually refractory to treatment. It has an early age of onset and may be associated with underlying neurological disorders. ILVEN has also been reported in association with skeletal abnormalities.[1]

A 5-year-old girl presented with a pruritic linear verrucous rash on her right arm, extending from her right shoulder along the full length of the upper arm. The le­sion was present since 2 months of age and showed areas of excoriation. She gave a history of inability to walk and repeatedly fell while attempting to do the same. A clinical examination revealed bilateral pes cavus and a sacral tuft of hair overlying a bony defect at the level of the first to the third lumbar vertebrae. MRI of the spine revealed a diastomatomyelia. A skin biopsy showed a psoriasiform histopathology with a chronic inflammatory infiltrate in the dermis consistent with the diagnosis of ILVEN. The patient underwent surgery for the correction of her diastomatomyelia.

Patients with epidermal nevi are at a significant risk of having other abnormalities[2] and warrant detailed clinical assessment. This case highlights the importance of including ILVEN as a component of the epidermal nevus syndrome.

 
  References Top

1.Golitz LE, Weston WL. Inflammatory linear epidermal nevus. Asso­ciation with epidermal nevus syndrome. Arch Dermatol 1979;115:1208­-1209.  Back to cited text no. 1  [PUBMED]  [FULLTEXT]
2.Rogers M, McCrossin I, Commens C. Epidermal nevi and epidermal nevus syndrome. A review of 131 cases. J Am Acad Dermatol 1989;20 476-488.  Back to cited text no. 2    




 

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