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Correspondence |

Becker Nevus With Ichthyotic Features

Vincent Criscione, AB; Gladys H. Telang, MD
Arch Dermatol. 2010;146(5):575-577. doi:10.1001/archdermatol.2010.79.
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Becker nevus is a common cutaneous hamartoma that typically manifests in childhood or adolescence as a unilateral, hyperpigmented, hypertrichotic macule or patch. Numerous skin, soft-tissue, and bony anomalies have been reported in association with Becker nevus. We describe a unique case of a Becker nevus with atypical size, location, and ichthyotic features.

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Figure 1.

Clinical (A) and close-up (B) views of right hip and thigh showing large hyperpigmented plaque with reticulated border and prominent ichthyotic scaling. Higher magnification (B) highlights ichthyotic scale (original magnification unknown).

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Figure 2.

Hematoxylin-eosin–stained specimens. Sections show lentiginous epidermal hyperplasia, basalar hyperpigmentation, flattening of the rete bases, and focal hypogranulosis with overlying compact orthokeratosis (original magnifications ×10 [A] and ×40 [B]).

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