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May 1976

Society Transactions

Arch Dermatol. 1976;112(5):740. doi:10.1001/archderm.1976.01630290080029

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Herbert J. Spoor, MD, Recorder 

Dermatitic Epidermal Nevus. Presented by John W. Dougherty, MD.  A 9-year-old Brazil-born girl was noted to have a 2-cm erythematous, scaling papule on the right buttock shortly after birth. At 1 year of age, similar lesions were noted over the volar aspect of the medial three toes of the right foot. By age 5, the lesions became pruritic and increased to about 5 x 2 cm in a linear fashion parallel to the gluteal fold. A macular hypopigmented linear streak that became more prominent with sun exposure was also noted at some time after birth. Treatment of the pruritic excoriated lesion of the right gluteal area consisted of topically applied steroids and coal tar cream, without success.When this child was presented to New York Hospital Dermatology Grand Rounds, the following differential diagnoses were offered (prior to biopsy): (1) dermatitic epidermal nevus, (2) nevus unius lateris, (3) lichen striatus, (4)

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