Deltoideoacromial nevus D22.5

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 04.09.2023

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Synonym(s)

acromiodeltoid nevus; deltoideo-acromial melanocytosis; Nevus Ito

History
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Ito, 1951

Definition
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  • Harmless, congenital, mostly large-area, in Asia frequent, in Caucasians rare, in the breast-shoulder region localized, symptomless, dermal melanocytosis with grey-blue discoloration of the skin. The nevus fuscocoeruleus deltoideoacromialis is to be understood as the counterpart of the Mongolian spot.

  • S.a. Naevus fuscocoeruleus ophthalmomaxillaris; s.a. Mongolian stain.

Occurrence/Epidemiology
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Incidence: 10-20:100,000 inhabitants/year.

Localization
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Shoulder and upper torso area.

Clinical features
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Corresponding to the nevus fuscocoeruleus ophthalmomaxillaris. Characteristic stripe-like hyperpigmentation, which are oriented along the Blaschko lines.

Therapy
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Therapy is not necessary. If necessary, cover the discoloration of the skin for cosmetic reasons (e.g. Dermacolor).

Progression/forecast
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Unchanged persistence. Melanoma development is described in individual cases. In this respect the naevus fuscocoeruleus deltoideoacromialis differs prognostically from the Mongolian spot.

Literature
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  1. Cohen J 3rd et al (2914) Analysis of 36 cases of Blaschkoid dyspigmentation: reading between the lines of Blaschko. Pediatric Dermatol 31: 471-476
  2. Mukhopadhyay AK (2013) Unilateral Nevus of Ota with Bilateral Nevus of Ito and Palatal Lesion: A Case Report with a Proposed Clinical Modification of Tanino's Classification. Indian J Dermatol 58: 286-289
  3. Resende C et al (2013) Late onset Ito's nevus. BMJ Case Rep doi: 10.1136/bcr-2013-009746
  4. Singh N et al (2914) Nevus depigmentosus and nevus of Ito: pigmentary twin spotting. Int J Dermatol 53:1005-1007
  5. Tse JYet al. (2015) Melanoma arising in a nevus of Ito: novel genetic mutations and a review of the literature on cutaneous malignant transformation of dermal melanocytosis. J Cutan Pathol doi: 10.1111/cup.12568

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Last updated on: 04.09.2023