Wednesday, December 05, 2007

Epidermal nevus affecting foot










A 22 year old man presented with a history of linear hyperkeratotic lesion on the right foot since age 7 yrs. It hurts his foot when he wear his shoes.
Examination of the right foot showed a localised hyperkeratotic plaque extending linearly to the medial malleolus. It was not tender or inflamed. My impression is that of an epidemal nevus. Appreciate your thoughts on diagnosis and treatment options.
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1 comment:

  1. Humane Medicine HuiDecember 06, 2007

    Hi Henry,
    The clinical appearance suggests the diagnosis of ILVEN. If not sure, biopsy may help. Some recent studies suggest ILVEN may be a form of linear psoriasis. The most recent article in PubMED reported success in treatment with a combination of tacrolimus oint + fluocininide.

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