Generic selectors
Exact matches only
Search in title
Search in content
Search in posts
Search in pages
Filter by Categories
15th National Conference of the IAOMFP, Chennai, 2006
Abstract
Abstracts from current literature
Acne in India: Guidelines for management - IAA Consensus Document
Addendum
Announcement
Art & Psychiatry
Article
Articles
Association Activities
Association Notes
Award Article
Book Review
Brief Report
Case Analysis
Case Letter
Case Letters
Case Notes
Case Report
Case Reports
Clinical and Laboratory Investigations
Clinical Article
Clinical Studies
Clinical Study
Commentary
Conference Oration
Conference Summary
Continuing Medical Education
Correspondence
Corrigendum
Cosmetic Dermatology
Cosmetology
Current Best Evidence
Current View
Derma Quest
Dermato Surgery
Dermatopathology
Dermatosurgery Specials
Dispensing Pearl
Do you know?
Drug Dialogues
e-IJDVL
Editor Speaks
Editorial
Editorial Remarks
Editorial Report
Editorial Report - 2007
Editorial report for 2004-2005
Errata
Erratum
Focus
Fourth All India Conference Programme
From Our Book Shelf
From the Desk of Chief Editor
General
Get Set for Net
Get set for the net
Guest Article
Guest Editorial
History
How I Manage?
IADVL Announcement
IADVL Announcements
IJDVL Awards
IJDVL AWARDS 2015
IJDVL Awards 2018
IJDVL Awards 2019
IJDVL Awards 2020
IJDVL International Awards 2018
Images in Clinical Practice
In Memorium
Inaugural Address
Index
Knowledge From World Contemporaries
Leprosy Section
Letter in Response to Previous Publication
Letter to Editor
Letter to the Editor
Letter to the Editor - Case Letter
Letter to the Editor - Letter in Response to Published Article
LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES
Letter to the Editor - Observation Letter
Letter to the Editor - Study Letter
Letter to the Editor - Therapy Letter
Letter to the Editor: Articles in Response to Previously Published Articles
Letters in Response to Previous Publication
Letters to the Editor
Letters to the Editor - Letter in Response to Previously Published Articles
Letters to the Editor: Case Letters
Letters to the Editor: Letters in Response to Previously Published Articles
Medicolegal Window
Messages
Miscellaneous Letter
Musings
Net Case
Net case report
Net Image
Net Letter
Net Quiz
Net Study
New Preparations
News
News & Views
Obituary
Observation Letter
Observation Letters
Oration
Original Article
ORIGINAL CONTRIBUTION
Original Contributions
Pattern of Skin Diseases
Pearls
Pediatric Dermatology
Pediatric Rounds
Perspective
Presedential Address
Presidential Address
Presidents Remarks
Quiz
Recommendations
Regret
Report
Report of chief editor
Report of Hon : Treasurer IADVL
Report of Hon. General Secretary IADVL
Research Methdology
Research Methodology
Resident page
Resident's Page
Resident’s Page
Residents' Corner
Residents' Corner
Residents' Page
Retraction
Review
Review Article
Review Articles
Revision Corner
Self Assessment Programme
SEMINAR
Seminar: Chronic Arsenicosis in India
Seminar: HIV Infection
Short Communication
Short Communications
Short Report
Special Article
Specialty Interface
Studies
Study Letter
Supplement-Photoprotection
Supplement-Psoriasis
Symposium - Contact Dermatitis
Symposium - Lasers
Symposium - Pediatric Dermatoses
Symposium - Psoriasis
Symposium - Vesicobullous Disorders
SYMPOSIUM - VITILIGO
Symposium Aesthetic Surgery
Symposium Dermatopathology
Symposium-Hair Disorders
Symposium-Nails Part I
Symposium-Nails-Part II
Systematic Reviews and Meta-analysis
Tables
Technology
Therapeutic Guidelines
Therapeutic Guidelines - IADVL
Therapeutics
Therapy
Therapy Letter
View Point
Viewpoint
What’s new in Dermatology
View/Download PDF

Translate this page into:

Letter To Editor
2006:72:1;66-67
doi: 10.4103/0378-6323.19729
PMID: 16481721

Nevus lipomatosus superficialis over neck, an atypical site

Jayanta Kr Das, Sujata Sengupta, Asok Kr Gangopadhyay
 Department of Dermatology, VIMS, Ramakrishna Mission Seva Pratisthan, Kolkata, West Bengal, India

Correspondence Address:
Jayanta Kr Das
Department of Dermatology, VIMS, Ramakrishna Mission Seva Pratisthan, 99, Sarat Bose Road, Kolkata 700026, West Bengal
India
How to cite this article:
Das JK, Sengupta S, Gangopadhyay AK. Nevus lipomatosus superficialis over neck, an atypical site. Indian J Dermatol Venereol Leprol 2006;72:66-67
Copyright: (C)2006 Indian Journal of Dermatology, Venereology, and Leprology

Sir,

Nevus lipomatosus cutaneous superficialis (NLCS) is a fairly uncommon condition classically presenting as a clustered group of soft, fleshy, skin-colored, or yellowish nodules, usually on the buttocks, back, or abdomen. The nodules are sessile or pedunculated domed growths with a smooth, wrinkled, or cerebriform surface.[1] They may be present at birth, but most commonly they develop during the first two decades of life. The histopathological hallmark is groups and strands of fat cells embedded in the collagen bundles of the dermis, often as high as the papillary dermis.[2] The proportion of fatty tissue in the dermis varies greatly, and can be as high as 50%.[3] We report on a case of NLCS at an atypical site.

A 12-year-old girl presented with multiple growths on the left side of the neck. The biggest of the lesions started about 4 years back as a small nodule on the left side of the lower part of neck, and the lesion had gradually spread to attain the present size. The smaller lesions appeared later on the adjacent area of the neck, and they too had gradually increased in size. There was history of slight but recurrent bleeding from different parts of the lesions. On questioning, the girl admitted to picking the lesions in her attempt to remove them.

On examination, there were several brownish, well-defined, soft, asymptomatic, and sessile growths with a cerebriform surface, spreading over an area of approx 10 x 7 cm2 on the left side of the neck. There were a few smaller, but similar, soft papulonodules lying in between the larger ones on the left side of the neck [Figure - 1].

General cutaneous examination as well as systemic examination was unremarkable. Routine investigations such as hemogram, blood biochemistry including serum lipid profile, and urine analysis were within normal limits. Histopathology of one of the neck lesions showed groups of mature fat cells embedded in the collagen bundles in the mid-dermis. The girl was referred to the surgery department where the lesion was excised.

NLCS is a developmental anomaly that may be present at birth, but it appears most commonly during the first two decades of life.[2] There are two clinical forms. The classic form presents as soft, fleshy, skin-colored or yellow nodules on the trunk, usually on the lower back or buttocks, at birth or in childhood. The other form presents as a domed or sessile papule later in life and occurs over several other sites apart from the lower back.[1] There are reports of hairy lesions as well as lesions with comedo-like plugs.[1],[3] They are sometimes associated with cafι-au-lait and hypopigmented macules. Unusual features such as large size, extension beyond the midline, and ulceration have been reported in one case from India.[4] The histopathology, showing a dermal collection of adipose tissue, is characteristic. Intradermal melanocytic nevus and Goltz syndrome also show similar histopathological features, but can easily be clinically distinguished from nevus lipomatosus cutaneous superficialis.[2],[5]

Our patient had a classical form of this uncommon condition at an atypical site.

References
1.
Atherton DJ. Nevi and other developmental defects. In : Champion RD, Burton JL, Burn DA, Breathnach SM, editors. Rook/Wilkinson/Ebling's Textbook of Dermatology. 6th ed. Oxford: Blackwell Science; 1998. p. 519-616.
[Google Scholar]
2.
Ragsdale BD. Tumors with fatty, muscular, osseous, and cartilaginous differentiation. In : Elder DE, Elenitsas R, Johnson BL, Jr, Murphy GF, editors. Lever's Histopathology of the Skin. 9th ed. Philadelphia: Lippincott; 2005. p. 1061-107.
[Google Scholar]
3.
Meena RS, Khare AK, Rana S, Meherda A, D'Souza P, Purohit S. Nevus lipomatosus cutaneus superficialis. Indian J Dermatol 2004;49:42-3.
[Google Scholar]
4.
Dhar S, Kumar B, Kaur I. Nevus lipomatosus superficialis of Hoffman and Zurhelle. Indian J Dermatol Venereol Leprol 1994;60:39-40.
[Google Scholar]
5.
Prasad PV. Nevus lipomatoides cutaneus superficialis. Indian J Dermatol Venereol Leprol 1995;61:243-4.
[Google Scholar]

Fulltext Views
257

PDF downloads
61
Show Sections