A rare case of porokeratotic eccrine ostial and dermal duct nevus

Authors

  • Moin ahmad Siddiqui Department of Dermatology, Integral Institute of Medical Sciences and research, IIMSR, Lucknow, India
  • Faizi Karim Department of Dermatology, Integral Institute of Medical Sciences and research, IIMSR, Lucknow, India
  • Fariz Sarshar Department of Dermatology, Integral Institute of Medical Sciences and research, IIMSR, Lucknow, India

DOI:

https://doi.org/10.66344/jpad.v33i4.2394

Keywords:

Porokeratosis, Nevus, Ecrine, Ostia

Abstract

Porokeratotic eccrine ostial and dermal duct nevus (PEODDN) is a rare and benign cutaneous condition, distinguished by numerous punctate pits and keratotic papules, usually present over palms and soles. A young female of age 25 years came to the out patient department with asymptomatic rough papules over her right palm and sole, for the past 3 years. Clinical examination showed keratotic papules, distributed over right palm’s radial aspect, just below and in front of base of thumb. Similar lesions were found on the inner side of right foot. The histopathological features were typical of PEODDN. PEODDN, also known as comedo nevus of palm, is characterized by pits which are keratotic and grouped, usually seen over palms and soles. The onset can be at birth or early adulthood. The lesions are mostly asymptomatic with very few treatment options described in literature. It is an uncommon and cosmetically disfiguring condition with only a few case reports till date. 

References

References

1. Wang NS, Meola T, Orlow SJ. Porokeratotic Eccrine ostial and Dermal Duct Nevus: A report of 2 cases and review of literature. Am J Dermatopathol 2009;31:582-6.

2. Bergman R, Lichtig C, Cohen A, Friedman-Birnbaum R. Porokeratotic eccrine ostial and dermal duct nevus. An abnormally keratinizing epidermal invagination or a dilated, porokeratotically plugged acrosyringium and dermal duct? Am J Dermatopathol. 1992;14:319–22.

3. Marsden RA, Fleming K, Dawber RP. Comedo naevus of the palm – A sweat duct naevus? Br J Dermatol. 1979;101:717–22.

4. Sassmannshausen J, Bogomilsky J, Chaffins M. Porokeratotic eccrine ostial and dermal duct nevus: A case report and review of literature. J Am Acad Dermatol 2000;43:364-7.

5. Goddard DS, Rogers M, Frieden IJ, Krol AL, White CR Jr, Jayaraman AG, et al. Widespread porokeratotic adnexal ostial nevus: Clinical features and proposal of a new name unifying porokeratotic eccrine ostial and dermal duct nevus and porokeratotic eccrine and hair follicle nevus. J Am Acad Dermatol 2009;61:1060.e1-14.

6. Stoof T, Starink T, Nieboer C. Porokeratotic eccrine ostial and dermal duct nevus: Report of a case of adult onset. J Am Acad Dermatol 1989;20:924-7.

7. Cambiaghi S, Gianotti R, Caputo R. Widespread porokeratotic eccrine ostial and dermal duct nevus along Blaschko lines. Pediatr Dermatol 2007;24:162-7.

8. Yu HJ, Ko JY, Kwon HM, Kim JS. Linear psoriasis with porokeratotic eccrine ostial and dermal duct nevus. J Am Acad Dermatol 2004;50:S81-3.

9. Leung CS, Tang WY, Lam WY, Lo KK. Porokeratotic eccrine ostial and dermal duct naevus with dermatomal trunk involvement: Literature review and report on the efficacy of laser treatment. Br J Dermatol 1998;138:684-8.

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Published

12.10.2023

Issue

Section

Case Reports

How to Cite

1.
A rare case of porokeratotic eccrine ostial and dermal duct nevus. J Pak Assoc Dermatol [Internet]. 2023 Oct. 12 [cited 2026 Sep. 6];33(4):1741-3. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/2394