A six year-old girl with several skeletal deformities and cutaneous lesions
Ahmmad Abad Ave, Ghaem Hospital, Department of Dermatology, Mashhad University of Medical Sciences, Mashhad
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Banihashemi M, Yazdanpanah MJ, Pezeshkpoor F. A six year-old girl with several skeletal deformities and cutaneous lesions. Indian J Dermatol Venereol Leprol 2008;74:427-428
A six year-old girl with normal mental development presented with unilateral, atrophic patches since birth, short stature and scoliosis. There was no history of similar complaints in the family. On examination, we found multiple atrophic patches distributed along Blaschko′s lines [Figure - 1], yellowish soft nodules and telangiectasia on her body surface. She also had limb deformities, scoliosis, bilateral syndactyly, and absence of toes of the right foot. Her hair and nails were normal; her teeth were hypoplastic and multiple papillomas were seen on the buccal mucosa. Examination of the eyes revealed an iris coloboma and an obstructed right tear duct. Biopsy of a yellowish nodule showed a remarkably thinned dermis occupied by adipose tissue [Figure - 2]. X-rays showed hypoplasia of the right ankle and right clavicle and aplasia of right fibula.
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