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KMID : 1144920180140020125
Journal of Wound Management and Research
2018 Volume.14 No. 2 p.125 ~ p.127
A Case of Surgical Excision of Nevus Comedonicus
Cha Jin-An

Yoon Sung-Ho
Abstract
Nevus comedonicus (NC) is a hamartoma of epithelial origin that is centered on a pilosebaceous unit. NC presents with grouped follicular openings and plugs that are similar in appearance to comedones. We introduce a case of congenital nevus comedonicus, involving a large area of the trunk with multiple abscesses. A 26-year-old man who was referred to our hospital presented with a nevus over half of his trunk. The nevus measured 15 cm¡¿6 cm and was limited to the dermis. After 4 staged resection procedures, the overall appearance was greatly improved except for a hypertrophic scar. The histopathological results showed aggregation of dilated follicular infundibula with prominent keratotic plugging and absent or rudimentary sebaceous elements. The lesion was diagnosed as nevus comedonicus. This case shows that when repeated inflammation causes morphological changes to occur as complications of nevus comedonicus, the potential for other treatment options for recurrences should be considered. We suggest surgical excision as the treatment of choice.
KEYWORD
Nevus, Intradermal, Nevus, Surgical procedures, Operational
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