Document Detail


Phacomatosis pigmentokeratotica associated with hemihypertrophy and a rhabdomyosarcoma of the abdominal wall.
MedLine Citation:
PMID:  16843117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Phacomatosis pigmentokeratotica (PPK) represents a specific "twin nevus" syndrome in which a speckled lentiginous nevus (SLN) is associated with an organoid nevus with sebaceous differentiation. A boy with a large nevus sebaceus on the left face and upper part of the trunk, a giant segmental SLN extending from the abdomen to the feet bilaterally, and right hemihypertrophy developed an embryonal rhabdomyosarcoma of the right abdominal wall at age 6 months. A variety of musculoskeletal, neurologic, and ocular anomalies have been observed in patients with PPK, reflecting the individual manifestations of both SLN and Schimmelpenning syndromes. This report adds hemihypertrophy to the spectrum of extracutaneous manifestations of PPK and, to our knowledge, represents the first observation of a rhabdomyosarcoma arising in contiguity with an SLN in a patient with PPK. The development of a rhabdomyosarcoma in our patient likely reflects both increased propensity for growth (as evidenced by the hemihypertrophy) and the pluripotent nature of neural-crest derived cells within the field defect that underlies an SLN.
Authors:
Lisa M Gruson; Seth J Orlow; Julie V Schaffer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  55     ISSN:  1097-6787     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-17     Completed Date:  2006-08-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S16-20     Citation Subset:  IM    
Affiliation:
Ronald O. Perelman Department of Dermatology, New York University School of Medicine, NY 10016, USA.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Wall / pathology
Adolescent
Humans
Hypertrophy
Male
Neurocutaneous Syndromes / complications*,  pathology*
Nevus, Pigmented / complications*,  pathology
Rhabdomyosarcoma, Embryonal / complications*,  pathology
Skin / pathology
Skin Neoplasms / complications*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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