Cornicardial nevus D23.L

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Happle, 1990

Definition
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Systematized epidermal nevus with strongly hyperkeratotic skin lesions and histologically pronounced acantholysis. So far very rarely described clinical picture.

Clinical features
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Strip-shaped plaque following the Blaschko lines, consisting of filiform, brown to brown-black hyperkeratoses, Cornua cutanea and hyperkeratoses reminiscent of giant comedones. During manual removal, pink, non-bleeding depressions remain in the skin.

Histology
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Acanthosis and pronounced orthohyperkeratosis. Acantholytic cleft formation both suprabasal and in the upper epidermal layers.

Differential diagnosis
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Pemphigus chronicus benignus familiaris, dyskeratosis follicularis, recurrent linear acantholytic dermatosis of the vakilzadeh type, acantholytic dyskeratotic epidermal nevus, familial dyskeratotic comedones.

Therapy
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Excision if necessary.

Literature
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  1. Happle R et al (1990) Naevus corniculatus: a new acantholytic disorder. Br J Dermatol 122: 107-112
  2. Schulz-Kiesow M et al (1996) Hystrix-like keratosis with nail and joint-involvement: a new genodermatosis? Dermatology 192: 321-324

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Last updated on: 29.10.2020