Multiple bilateral Becker’s nevus in a Saudi female: a rare presentation

Alhuqayl, Alanoud; Alsaif, Fahad; Alsaad, Alaa; Alali, Azhar

doi:10.21037/acr.2019.10.01

Cited by 4 publications

(4 citation statements)

References 11 publications

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“…Bilateral BN has not yet been documented in Middle Eastern countries; to our knowledge, only one case has been published by Alhuqayl et al Table 1 summarizes a literature review of the published case reports with a similar presentation. To our knowledge, previous recent published studies reported a few cases of symmetrical or asymmetrical bilateral presentation [ 3 - 5 ]. Multiple and bilateral BN is rarely reported in the literature, and there are few reported cases in Arabic countries.…”

Section: Discussionmentioning

confidence: 99%

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Bilateral, Symmetrical, Congenital Becker’s Nevus Melanosis: A Rare Presentation and Review of the Literature

Abdulwahab¹,

Banjar²,

Alharbi³

2023

Cureus

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Becker's nevus, also known as Becker's melanosis or Becker's pigmentary hamartoma, is a concurrent melanosis first described by S. William Becker. It is a type of acquired hyperpigmentation characterized by well-defined, unilateral lesions with regular borders. It is associated with hypertrichosis and hyperpigmented brownish patches with a mean diameter of 15 cm. The shoulder, scapular area, and upper arms are the most commonly affected areas, but it can occur on any area of the body, including the forehead, face, neck, lower trunk, extremities, and buttocks. The lesion usually appears around puberty, and males are more likely to be affected than females.A 27-year-old male of Arabic descent who was medically free presented to the dermatology clinic complaining of bilateral, symmetrical, hyperpigmented patches on the upper back. The lesions started almost at birth, gradually growing in size and darkening in color over time. On local skin examination, the lesions were bilateral, symmetrical, hyperpigmented patches on the upper back. They were both homogeneous and brown in color with irregular borders and blotchy hyperpigmented macules on both sides of the upper back associated with sparse hair development. Histopathological examination revealed epidermal hyperkeratosis, acanthosis, and focal regular elongation of rete ridges with clubbing. Increased basal layer pigmentation was noticed. The dermis showed focal areas with pigment incontinence. Based on the above clinicopathological findings, the patient was diagnosed with Becker's melanosis. He was referred to the laser clinic for further treatment.

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Section: Discussionmentioning

confidence: 99%

“…These connected syndromes share cutaneous, neurologic, skeletal, and ophthalmologic features [ 2 ]. Only a few cases of multiple and bilateral BN have been described in the literature [ 3 ]. Therefore, we present the case of a 27-year-old healthy male with congenital, atypical, bilateral, symmetrical BN over the upper back.…”

Section: Introductionmentioning

confidence: 99%

Bilateral, Symmetrical, Congenital Becker’s Nevus Melanosis: A Rare Presentation and Review of the Literature

Abdulwahab¹,

Banjar²,

Alharbi³

2023

Cureus

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“…As mentioned, the most common form of BN is a single lesion, and it is significantly more common in males. Based on the literature review, only two female cases of BN have been reported [ 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Multiple Becker’s Nevi in a Female Patient Without Musculoskeletal or Developmental Abnormalities: A Case Report and Review of the Literature

Ghalamkarpour¹,

Niknezhad²,

Mansourzadeh³

et al. 2021

Cureus

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Becker's nevus (BN) is one of the cutaneous hamartomatous lesions that often presents as an acquired, single unilateral pigmented hairy patch on the upper trunk, scapular region, or upper arm. Hereby we introduce a 13-year-old girl with the unusual manifestation of BN with multiple acquired, pigmented hairy patches for six months without any musculoskeletal or developmental involvements. After carefully reviewing the literature, to the best of our knowledge, this is the first case in this regard in Iran.

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“…The male-to-female ratio was said to be 2:1∼5:1. 1 , 2 However, some authors believed that the true sex ratio may be 1:1, due to Becker’s nevus tends to be less conspicuous in female patients. 1 , 3 The other pathogenetic hypothesis of Becker’s nevus was postzygotic mutations in beta-actin.…”

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confidence: 99%