Naevus of Ota with Port Wine Stain - A rare entity
DOI:
https://doi.org/10.66344/jpad.v27i3.938Keywords:
Nevus of ota, Portwine stain, Anterior staphyloma, GlaucomaAbstract
Nevus of Ota, which was originally described by Ota and Tanino in 1939, is a hamartoma of dermal melanocytes. It, also known as nevus fuscoceruleus ophthalmomaxillaris, is a pigmentary change involving the first and second divisions of the trigeminal nerve. Patients with the nevus of Ota have increased amounts of melanin (pigment) and melanin producing cells (melanocytes). The melanocytosis also affects the oral cavity, nasal mucosa, external auditory canal, tympanic membrane, orbital fissures, meninges and the brain. A port-wine stain (PWS) is defined as a macular telangiectatic patch (CM) which is present at birth and persists throughout life. They may be localized or extensive, affecting a whole limb. Here, we report a rare case of co-existence of nevus of Ota and port-wine stain.
References
1. Ota M, Tamino H. A variety of nevus frequently encountered in Japan, nevus fusco-coeruleus ophthalmomaxillaris and its relation to pigmentary changes in the eye. Tokyo Med J. 1939;63:1242-4.
2. Hidano A, Kajima H, Ikeda S, Mizutani H, Miyasato H, Niimura M. Natural history of nevus of Ota. Arch Dermatol. 1967;95:187-95.
3. Hori Y, Takayama O. Circumscribed dermal melanoses: Classification and histologic features. Dermatol Clin. 1988;6:315-26.
4. Fulk CS, Morristown TN. Primary disorders of hyperpigmentation. J Am Acad Dermatol. 1984;10:4.
5. Lever WF, Schaumburg-Lever G, editors. Histopathology of the Skin, 7th ed. Philadelphia: JB Lippincott; 1990. P. 776-7.
6. Hirayama T, Suzuki T. A new classification of Ota’s nevus based on histopathological features. Dermatologica. 1991;183:169-72.
7. Champion RH, Burton JL, Ebling FJG. Dermal melanocytic naevi. Textbook of Dermatology, 5th ed. London: Blackwell Scientific Publications; 1992. P. 1537-9.
8. Moschella SM, Hurley HJ. Disturbances of Pigmentation Dermatology. WB Saunders Company, Philadelphia, 1985: 1280–1282.
9. Liu JC, Ball SF. Nevus of Ota with glaucoma: report of three cases. Ann Ophthalmol. 1991;23:286-9.
10. Hartmann LC, Oliver GF, Winkelmann RK et al. Blue nevus and nevus of Ota associated with dural melanoma. Cancer. 1981;64:182-6.
11. Koca MR, Rummelt VR, Fahlbusch R, Naumann GO. Orbital, osseus, meningeal and cerebral findings in oculodermal melanocytosis (nevus of Ota). Clinico-histopathologic correlation in 2 patients. Klin Monatsblatt Augenheilkd. 1992;200:665-70.
12. Mosher DB, Fitzpatrick TB, Hovi J, Ortonne J-P. Disorders of pigmentation. In: Fitzpat-rick TB, Eisen AZ, Wolff K, editors. Dermatology in General Medicine, 4th edn. New York: McGraw-Hill, 1993: 979.
13. Kolde G, Schmollack K-P, Sterry W. Periorbitale hyperpigmentierung. Hautarzt. 2001;52:460-3.
14. Patel BC, Egan CA, Lucius RW et al.Cutaneous malignant melanoma and oculodermal melanocytosis (nevus of Ota): report of a case and review of the literature. J Am Acad Dermatol. 1998;38:862-5.
15. Theunissen P, Spincemaille G, Pannebakker M, Lambers J. Meningeal melanoma associ-ated with nevus of Ota: case report and review. Clin Neuropathol. 1993;12:125-9.
16. Ueda S, Isoda M, Imayama S. Response of naevus of Ota to Q-switched ruby laser treat-ment according to lesion colour. Br J Dermatol. 2000;142:77-83.
17. Cho SB, Park SJ, Kim MJ, Bu TS. Treatment of acquired bilateral nevus of Ota-like macules (Hori's nevus) using 1064-nm Q-switched Nd: YAG laser with low fluence. Int J Dermatol. 2009;48:1308-12.
18. Chan HH, Leung RSC, Ying S-Y et al. A retrospective analysis of complications in the treatment of nevus of Ota with the Q-switched alexandrite and Q-switched Nd:Yag lasers. Dermatol Surg. 2000;26:1000-6.
19. Lam AY, Wong DS, Lam LK, Ho WS, Chan HH. A retrospective study on the efficacy and complications of Q- switched alexandrite laser in the treatment of acquired bilateral nevus of Ota-like macules. Dermatol Surg. 2001;27:937-41.
20. Whitmore SE, Wilson BB, Cooper PH. Late-onset nevus of Ota. Cutis. 1991;48:213-5.
21. Manuskiatti W, Sivayathorn A, Leelaudomlipi P, Fitzpatrick RE. Treatment of acquired bilateral nevus of Ota-like macules (Hori's nevus) using a combination of scanned carbon dioxide laser followed by Q-switched ruby laser. J Am Acad Dermatol. 2003;48:584-91.
22. Kunachak S, Kunachakr S, Sirikulchayanonta V, Leelaudomniti P. Dermabrasion is an effective treatment for acquired bilateral nevus of Ota-like macules. Dermatol Surg. 1996;22:559-62.
Downloads
Published
Issue
Section
License
Copyright (c) 2018 Sundeep Chowdhry, Neha Yadav, Dipak Umrigar, Akhilesh Shukla

This work is licensed under a Creative Commons Attribution 4.0 International License.
Submission declaration
Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.
By submitting a manuscript, authors confirm that the work has not been published previously (except as an abstract, lecture, or academic thesis), is not under review elsewhere, and has been approved by all authors and relevant authorities. Once accepted, the article will be openly accessible under the CC BY 4.0 license, ensuring wide dissemination and reuse with proper attribution.






