Acral Becker’s nevus: A very rare clinical presentation
DOI:
https://doi.org/10.66344/jpad.v28i1.990Keywords:
Acral Becker’s nevusAbstract
A 31 year old male presented with brownish hyperpigmentation over dorsal aspect of right hand and forearm for eight years. The pigmentation started at dorsal aspect of hand which spread to a diameter of several centimeters and with time new patches developed more proximally over distal forearm and fused with it. On examination, there was brownish hyperpigmented macular pigmentation of the size 10cm x 4cm with irregular margins present on the dorsal aspect of right hand and distal one fourths of the forearm associated with hypertrichosis . Rest of the cutaneous and systemic examination was unremarkable. Histopathology was consistent with Beckers nevus. Based on history, suggestive clinical findings and further supported by histopathology, a diagnosis of acral Becker's nevus was made.
References
1. Becker SW. Concurrent melanosis and hypertrichosis in a distribution of nevus unius lateris. Arch Dermatol. 1948;60:155-60.
2. Lambert JR, Willems P, Abs R, Van Roy B. Becker’s nevus associated with chromosomal mosaicism and congenital adrenal hyperplasia. J Am Acad Dermatol. 1994;30:655-7.
3. Ingordo V, Gentile C, Iannazzone S et al. The ‘Epi Enlist’ project: a dermoepidemiologic study on a representative sample of young Italian males. Prevalence of selected pigmentary lesions. J Eur Acad Dermatol Venereol. 2007;21:1091-6.
4. Moss C, Shahidullah H. Naevi and other Developmental Defects. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology. 8th edn. Oxford, U.K: Wiley-Blackwell; 2010. p. 18.17.-18.19.
5. Al-Saif F, Al-Mekhadab E, Al-Saif H. Efficacy and safety of short-pulse erbium: Yttrium aluminum garnet laser treatment of Becker's nevus in Saudi patients: A pilot study. Int J Health Sci (Qassim). 2017;11 (3):14-17.
6. Choi JE, Kim JW, Seo SH, Son SW, Ahn HH, Kye YC. Treatment of Becker's nevi with a long-pulse alexandrite laser. Dermatol Surg. 2009;35 (7):1105-8.
7. Balaraman B, Friedman PM. Hypertrichotic Becker's nevi treated with combination 1,550 nm non-ablative fractional photothermolysis and laser hair removal. Lasers Surg. 2016;48:350-3.
Downloads
Published
Issue
Section
License
Copyright (c) 2018 Tasleem Arif

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.






