|LETTER TO EDITOR
|Year : 1999 | Volume
| Issue : 6 | Page : 302
Inflammatory linear verrucous epidermal nevus and spinal anomaly
NA Madnani, BK Misra
N A Madnani
Source of Support: None, Conflict of Interest: None
|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.
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 and warrant detailed clinical assessment. This case highlights the importance of including ILVEN as a component of the epidermal nevus syndrome.
| References|| |
|1.||Golitz LE, Weston WL. Inflammatory linear epidermal nevus. Association with epidermal nevus syndrome. Arch Dermatol 1979;115:1208-1209. [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. |