Shibhani Sudheer Hegde, Anil Patki, Vidyadhar R Sardesai
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引用次数: 0
Abstract
Seborrheic keratosis (SK) has long been known to be an acquired benign tumour of adulthood. Nevo-blaschkoid pattern of SK presenting during infancy is rare and puts a clinician in a quandary regarding final diagnosis. This hypothesis of paediatric SK being a subtype of epidermal nevus (EN) has muddled the understanding of both disorders. There are histopathological pointers that differentiate seborrheic keratosis from SK-like histology of EN. Here, we present a child with blaschkoid SK with onset during infancy. Dermoscopic evaluation showed comedo-like openings suggestive of SK. The benefits of performing shave biopsy were twofold. Diagnostic confirmation of it being SK and not SK-type of EN and therapeutic option of their simultaneous removal ensured prompt management.
众所周知，脂溢性角化病（SK）是一种成年后获得性良性肿瘤。在婴儿期出现的痣-布拉斯克氏角化模式（Nevo-blaschkoid pattern of SK）非常罕见，这让临床医生在最终诊断时陷入困境。儿科 SK 是表皮痣（EN）的一种亚型，这一假说混淆了对这两种疾病的认识。有一些组织病理学指标可以将脂溢性角化病与表皮痣的SK样组织学区分开来。在这里，我们要介绍的是一名在婴儿期发病的布拉斯角化症患儿。皮肤镜评估显示，粉刺样开口提示为SK。进行刮片活检有两个好处。诊断证实它是 SK 而不是 SK 型 EN，同时切除它们的治疗方案确保了治疗的及时性。
期刊介绍：
BMJ Case Reports is an important educational resource offering a high volume of cases in all disciplines so that healthcare professionals, researchers and others can easily find clinically important information on common and rare conditions. All articles are peer reviewed and copy edited before publication. BMJ Case Reports is not an edition or supplement of the BMJ.
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