Korean J Dermatol.
2024 May;62(4):238-241.
Late-Onset Bilateral Nevus Comedonicus of the Eyelids: A Rare Presentation
- Affiliations
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- 1Department of Dermatology, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea
- 2Hanyang Institute of Bioscience and Biotechnology, Hanyang University, Seoul, Korea
- 3Department of Dermatology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Korea
Abstract
- Nevus comedonicus (NC, acneiform nevus) is a rare variant of adnexal hamartoma, which is clinically characterized as confluent clusters of dilated follicular orifices resembling comedones. NC usually occurs unilaterally along the line of Blaschko and presents at birth or develops during childhood. A 66-year-old man presented with a 6-month history of multiple skin-colored to brownish papules resembling comedones on both the upper and lower eyelids. The patient did not complain of ophthalmologic or neurologic symptoms. Skin punch biopsy revealed dilated follicular openings filled with eosinophilic keratinous material and lymphocytic infiltration. Based on clinical and histopathologic findings, a diagnosis of late-onset bilateral NC of the eyelids was reached.
