Spectrum of Becker's Melanosis Changes Is Greater Than Believed

Disorders of pigmentation

“…592 Treatment is usually with laser therapy. 597,598 Electron microscopy Q-switched lasers are used in pigmented variants but several treatments are necessary.…”

Becker's melanosis associated with fibrous dysplasia

“…Several patients with Becker's melanosis have been described who have had a variety of associated structural anomalies of the underlying soft tissue and bone. They include hypoplasia of the ipsilateral breast, ipsilateral limb shortening, lumbar spina bifida, pectus carinatum, pectus excavatum, scoliosis, localized lipoatrophy, congenital adrenal hyperplasia, accessory scrotum, polithelia, and elephantiasis neuromatosa 6–12 . The majority of the developmental anomalies have been “hypolastic” in nature, implying atrophic or developmental defect of the structure described or associated with the altered sexual hormonal activities 6 …”

Supernumerary nipple in association with Becker Nevus vs. Becker Nevus syndrome: A semantic problem only

“…However, in their overview of the spectrum of the anomalies occurring in Becker nevus syndrome, Happle and Koopman [1997] discussed only the paper by Friedel et al [1988] regarding the association with SNs, in a female patient who had unilateral breast hypoplasia. Furthermore, under the definition of Becker nevus syndrome were reported the case by Szylit et al [1986], characterized by the unique combination of BN with accessory scrotum, and 2 patients described by Glinick and Alper [1986], who had only pectus excavatum associated with BN.…”