Bathing trunk nevus with innumerable muco-cutaneous satellite nevi

Shagufta Rather, Atiya Yaseen, Iffat Hassan

 Department of Dermatology, Venereology and Leprology, Government Medical College and Hospital, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Shagufta Rather
Department of Dermatology, Venereology and Leprology, Government Medical College and Hospital, Srinagar - 190 001, Jammu and Kashmir
India

A 10-year-old girl presented with a giant, hairy melanocytic nevus over the entire back extending to the chest and abdomen amounting to more than 20% of the skin surface [Figure - 1]a and [Figure - 1]b. Multiple macular lesions of similar morphology, ranging in size from few mm to 4 cm, were noted over the buttocks, legs, arms, palms and soles. Interspersed with the giant truncal melanocytic nevus flesh-colored, non-hairy plaques were observed on the central back [Figure - 1]a and [Figure - 1]b. Mucosal examination demonstrated multiple nevi in the oral, ocular and genital mucosa [Figure - 1]c,[Figure - 1]d,[Figure - 1]e. The left big toe showed melanonychia. Biopsies taken from the black and flesh-colored lesions were consistent with compound and intradermal melanocytic nevi, respectively.

Figure 1: (a) Bathing trunk nevus over the abdomen (b) bathing trunk nevus over the back and limbs with multiple satellite lesions (c) ocular, (d) oral and (e) genital mucosa showing melanocytic nevi

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