Blue Nevus Hidden within the Nevus of Ota

Q2 Medicine Chinese Medical Sciences Journal Pub Date : 2023-03-01 DOI:10.24920/004092
Xing Liu , Hui-Ying Zheng , Fu-Min Fang , He-Dan Yang , Hui Ding , Yin Yang , Yi-Ping Ge , Tong Lin
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Abstract

A 3-year-old boy presented with bluish patch and scattered blue spots on the left side of his face. After several sessions of laser treatment, the azury patch in the periorbital area became even darker. Histopathology showed many bipolar, pigment-laden dendritic cells scattered in the papillary and upper reticular dermis. Immunohistochemically, these cells were positive for S100, SOX-10, melan-A, P16, and HMB-45. The positive rate of Ki-67 was less than 5%. Finally, the lesion was diagnosed with nevus of Ota concurrent with common blue nevus. Therefore, for cases of the nevus of Ota with poor response to laser treatment, the possible coexisting diseases should be suspected.

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藏在太田痣中的蓝色痣
一名3岁男孩的左侧面部出现蓝色斑块和分散的蓝色斑点。经过几次激光治疗后,眶周区域的天青斑块变得更暗。组织病理学显示,许多双极性、色素丰富的树突细胞散布在真皮乳头状和上部网状区域。免疫组化显示,这些细胞S100、SOX-10、melan-A、P16和HMB-45呈阳性。Ki-67阳性率低于5%。最后,该病变被诊断为太田痣,同时伴有常见的蓝色痣。因此,对于对激光治疗反应不佳的太田痣病例,应怀疑可能存在的共存疾病。
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来源期刊
Chinese Medical Sciences Journal
Chinese Medical Sciences Journal Medicine-Medicine (all)
CiteScore
2.40
自引率
0.00%
发文量
1275
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