Inflammatory Linear Verrucous Epidermal Nevus is a rare disease of the skin that presents as multiple, discrete, red papules that tend to coalesce into linear plaques that follow the Lines of Blaschko. The plaques can be slightly warty (psoriaform) or scaly (eczema-like). ILVEN is caused by somatic mutations that result in genetic mosaicism. There is no cure, but different medical treatments can alleviate the symptoms.
患者在五個月大時首次出現,右前頭皮出現黃色斑塊。六個月後,他們的頭皮右後側出現色素沉澱的疣狀丘疹。五年來,這些斑點慢慢變大,但只停留在右臉、頭皮和頸部。它們不痛也不癢,患者生長正常。右臉頰和前額有輕微凸起的黃色斑塊,延伸到頭皮的正面和側面。與這些斑塊相連的是色素沉著的疣狀丘疹,從頭皮後部到右側頸部後部形成線條。 The patient first showed up at five months old with yellow patches on the right front of the scalp. By six months, they had hyperpigmented verrucous papules on the back right side of the scalp. Over the past five years, these spots slowly grew bigger but stayed only on the right side of the face, scalp, and neck. They aren't painful or itchy, and the patient is growing normally. The right cheek and forehead have slightly raised, yellow patches that stretch onto the front and side of the scalp. Connected to these patches are hyperpigmented, verrucous papules, forming lines from the back of the scalp to the back of the neck on the right side.
○ 診斷與治療
由於疣的形狀相似,因此應加以區分。表皮痣可以透過雷射消融去除。