Eruptive melanocytic nevi after Stevens-Johnson syndrome

Shoji, Tetsuro; Cockerell, Clay J.; Koff, Amy Beth; Bhawan, Jag

doi:10.1016/s0190-9622(97)80386-6

Cited by 42 publications

(15 citation statements)

References 14 publications

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“…Similar cases of eruptive melanocytic nevi were described following Stevens-Johnson syndrome episodes, erythema multiforme and associated with lichen sclerosus and atrophicus [9][10][11][12] . The proposed pathogenesis is similar to that related to EB nevus.…”

Section: Discussionsupporting

confidence: 56%

“…The proposed pathogenesis is similar to that related to EB nevus. 3,[9][10][11][12] There is only one report describing a child with bullous pemphigoid located on the a vulva, where recurrent blisters developed, an atypical melanocytic nevus with clinical and dermoscopic characteristics of melanoma. 13 This was the first case where a melanocytic nevus developed on the site of bullous lesions, in bullous autoimmune and subepidermal disease in childhood.…”

Section: Discussionmentioning

confidence: 99%

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Nevo da epidermólise bolhosa: caso clínico e revisão da literatura

Cotrim

Simone

Lima

et al. 2011

An. Bras. Dermatol.

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Acquired melanocytic lesions resembling malignant melanoma have been described in all major categories of Epidermolysis bullosa and referred to as "Epidermolysis bullosa nevi''. They easily induce to diagnostic error, although no malignant transformation has been reported. We report the development of a large acquired melanocytic nevus at a site of recurrent blisters in a 5-year-old child with Epidermolysis bullosa simplex. The global dermoscopic pattern was suggestive of benignity, and the histopathological findings were compatible with a compound melanocytic nevus. This is the first published case of Epidermolysis bullosa nevi in Brazilian literature. Despite their benign behavior, we emphasize the importance of regular clinical and dermoscopic monitoring, since a malignant course still cannot be totally excluded. Keywords: Biopsy; Dermoscopy; Epidermolysis bullosa; Melanoma; Nevus, pigmented Resumo: Lesões melanocíticas adquiridas assemelhando-se à melanoma têm sido descritas nos principais grupos da Epidermólise bolhosa, e referidas como "Nevos da Epidermólise bolhosa''. Induzem facilmente ao erro diagnóstico, apesar de nenhuma transformação maligna ter sido descrita. Relatamos o desenvolvimento de um nevo melanocítico adquirido grande no local de bolhas recorrentes em uma criança de 5 anos portadora de Epidermólise bolhosa simples. O padrão dermatoscópico global foi sugestivo de benignidade, e os achados histopatológicos foram compatíveis com um nevo melanocítico composto. Este é o primeiro caso de um Nevo da Epidermólise bolhosa publicado na literatura brasileira.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Nevo da epidermólise bolhosa: caso clínico e revisão da literatura

Cotrim

Simone

Lima

et al. 2011

An. Bras. Dermatol.

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“…With the former, eruptive MN have been reported in patients with erythema multiforme, 3 Stevens-Johnson syndrome, [4][5][6] toxic epidermal necrolysis, [3][4][5]7 epidermolysis bullosa, 8,9 and bullae induced by mustard gas. 10 There have also been reports of eruptive nevi arising in patients with immunosuppression from human immunodeficiency virus infection, 11,12 neoplastic disease, 13,14 organ transplantation, 15,16 Crohn disease, [17][18][19] or chemotherapy.…”

Section: Arch Dermatol 2007;143(12):1555-1557mentioning

confidence: 99%

“…Occasionally, eruptive MN may arise without any apparent precipitating factors. 6,17,23,24 We had the unique opportunity to follow up a patient who developed eruptive MN 38 years ago. This patient was first described by Kopf et al 5 in 1977.…”

Section: Arch Dermatol 2007;143(12):1555-1557mentioning

confidence: 99%

Long-term Follow-up of a Patient With Eruptive Melanocytic Nevi After Stevens-Johnson Syndrome

Gelfer¹,

Rivers²

2007

Arch Dermatol

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“…7 A parallel also exists with cases of erythema multiforme (EM) or Stevens-Johnson syndrome, in which nevi suddenly appear following improvement of the initial cutaneous inflammation. 8 Some authors recommend 6-monthly follow-up of EB nevi, performing biopsies of the most heavily pigmented areas when dermoscopic criteria are significant. 9 Prophylactic excision of the nevus is not recommended since these patients have skin fragility and poor healing resources.…”

Section: Discussionmentioning

confidence: 99%

Nevo da epidermólise bolhosa: aspectos clínicos, dermatoscópicos e histológicos em um caso de portador da forma distrófica recessiva

Melo

Teruya

Machado

et al. 2011

An. Bras. Dermatol.

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Acquired melanocytic lesions may present unusual clinical features in all forms of hereditary epidermolysis bullosa. These lesions are known as "EB nevi", and often pose a diagnostic challenge for dermatologists given their resemblance -clinically, dermoscopically and histologically -to melanoma. The lesions have been reported in all types of hereditary EB, most of them in childhood. We report the case of a 6-month-old boy suffering from recessive dystrophic epidermolysis bullosa (RDEB) that presented as a large pigmented lesion on his left thigh. We decided to monitor the lesion closely since we considered that the clinical and pathological aspects of the lesion were compatible with the description of other previously reported cases of EB nevi. Keywords: Epidermolysis bullosa dystrophica; Nevi and melanomas; Melanoma Resumo: As lesões melanocíticas adquiridas podem apresentar aspecto clínico não-usual em pacientes portadores de epidermólise bolhosa hereditária. Essas lesões são conhecidas como "nevos EB" e, muitas vezes, constituem um desafio diagnóstico ao dermatologista por apresentarem características clínicas, dermatoscópicas e histopatológicas semelhantes às encontradas no melanoma. Não são exclusivas de nenhuma forma de epidermólise bolhosa e têm sua frequência aumentada na infância. Relata-se o caso de um doente do sexo masculino, de 6 meses de idade, portador da forma distrófica recessiva da doença, com lesão pigmentada de rápido crescimento na coxa esquerda. Optou-se por seguimento clínico da lesão, considerando que os aspectos clínicos, dermatoscópicos e histológicos eram compatíveis com a descrição de outros casos de nevo EB previamente descritos.

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Eruptive melanocytic nevi after Stevens-Johnson syndrome

Cited by 42 publications

References 14 publications

Nevo da epidermólise bolhosa: caso clínico e revisão da literatura

Nevo da epidermólise bolhosa: caso clínico e revisão da literatura

Long-term Follow-up of a Patient With Eruptive Melanocytic Nevi After Stevens-Johnson Syndrome

Nevo da epidermólise bolhosa: aspectos clínicos, dermatoscópicos e histológicos em um caso de portador da forma distrófica recessiva

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