Journal of Cutaneous and Aesthetic Surgery
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Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 33-37

Extensive nevus comedonicus, complicated with recurrent abscesses, successfully treated with surgical resurfacing

Department of Plastic Surgery, St Johns’ Medical College and Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Maheshwari Nallur Siddaraju
#851, Cosmetic Skin Care Clinic, 8th Cross, 8th Block, Koramangala, Bengaluru 560095, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JCAS.JCAS_122_17

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Nevus comedonicus is a rare epidermal abnormality of the pilosebaceous unit, which is congenital in most patients but may also appear early in childhood. It may be localized or have an extensive involvement, the latter showing a unilateral predominance with only a few cases presenting bilaterally. Extensive nevus comedonicus can be associated with musculoskeletal defects, eye and neurological involvement, which constitutes nevus comedonicus syndrome. Uncomplicated nevus comedonicus can be treated with topical keratolytics, diode, erbium laser, and ultrapulse CO2 laser. Surgical excision can be performed to ensure complete removal and nonrecurrence. This case report refers to a young male patient with extensive nevus comedonicus present over left chest, left axilla, and left upper back without systemic involvement, treated with staged surgical excision and resurfacing.

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