Diagnosis: Nevus of Ota. Presented by Dr. Orlando Canizares and Dr. Alfred W. Kopf (by invitation).
Reason for Presentation: Unusual variant of blue nevus-Mongolian spot complex.
An 11-year-old Negro female has had since birth a bluish-brown discoloration involving the left half of her face, including the forehead, temple, zygomatic and preauricular areas, combined with a similar discoloration of the sclera of the left eye. The lesion has shown little tendency to involution although the cutaneous component may be somewhat lighter. With the exception of this macular discoloration, she is otherwise normal in development and has kept up with her contemporaries in school. Neurologic and ophthalmologic examinations have not revealed any additional abnormal findings.
The patient presents a macular, brown to bluish-black discoloration with ill-defined margins in the area of the distribution of the first and second divisions of the trigeminal nerve. The sclera of the left eye is