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April 1981

Becker's Nevus Associated With Limb Asymmetry

Author Affiliations

From the Departments of Dermatology (Drs Lucky and Lerner) and Pathology (Dr Saruk), Yale University School of Medicine, New Haven, Conn.

Arch Dermatol. 1981;117(4):243. doi:10.1001/archderm.1981.01650040059024

The association of skeletal anomalies, including limb asymmetry, has been well documented with a variety of epidermal nevi. We are unaware of a similar association with a Becker's nevus. In this report we describe a patient in whom Becker's nevus on the leg was associated with enlargement of the ipsilateral foot.

Report of a Case  A 12-year-old girl was seen in the Dermatology Clinic at the Yale-New Haven Hospital with a history of a gradually enlarging, tan-brown discoloration of the skin on the posterior aspect of the lower part of her right leg. The lesion had developed during a three-year period. Although there had been slight pruritus when the lesion was first noted, the symptom gradually disappeared. Her right foot had become considerably larger than her left foot at 9 years of age. At one time she required a size 8 shoe on her right foot and a size 6½

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