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August 1978

Halo Congenital Nevus Without Histological Inflammation

Author Affiliations

Irvine, Calif

Torrance, Calif

Arch Dermatol. 1978;114(8):1242. doi:10.1001/archderm.1978.01640200090033

To the Editor.—  Brownstein et al (Archives 113:1572-1575, 1977) described a congenital pigmented nevus that was surrounded by a depigmented halo. There were also several hypopigmented areas on the face, neck, and back. They emphasized the lack of a histological inflammatory infiltrate in both the nevus and the depigmented halo zone. We report a similar observation in a congenital pigmented nevus that had become depigmented and that was surrounded by a halo. In addition, there were multiple vitiliginous areas and a halo around a pigmented seborrheic keratosis.

Report of a Case.—  A 60-year-old man requested the removal of a 5.0 × 2.0-cm hypopigmented, slightly raised, elliptical plaque on his left flank. The plaque contained a number of coarse white hairs and was surrounded by a 5.0-cm-wide border of hypopigmentation. The plaque had been present since birth and had been dark brown in color. At the age of 14, a white