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Partial unilateral lentiginosis with ocular involvement.
J V Schaffer1, R Lazova, J L Bolognia
1Department of Dermatology, Yale University School of Medicine, New Haven, Connecticut 06520, USA. votavajr@biomed.med.yale.edu
Journal of the American Academy of Dermatology
|February 15, 2001
Summary
Partial unilateral lentiginosis (PUL) is a rare skin condition. This case highlights the first documented instance of ocular involvement in a patient diagnosed with PUL, emphasizing the need for broader diagnostic considerations.
Area of Science:
- Dermatology
- Ophthalmology
- Pigmentary Disorders
Background:
- Partial unilateral lentiginosis (PUL) is an uncommon pigmentary disorder.
- PUL presents as grouped lentigines in a segmental distribution with midline demarcation.
Observation:
- A 30-year-old Peruvian woman presented with unilateral facial lentigines.
- Lesions exhibited a V1/V2 distribution with a distinct midline border.
- Ocular involvement was noted as pigmentation on the left bulbar conjunctiva.
Findings:
- This case represents the first reported instance of ocular involvement in Partial Unilateral Lentiginosis.
- The patient's presentation was initially misdiagnosed as speckled lentiginous nevus or nevus of Ota.
Implications:
- Highlights the importance of recognizing Partial Unilateral Lentiginosis as a distinct diagnosis.
- Suggests that ocular examination should be considered in patients with PUL.
- Broadens the understanding of the clinical spectrum of pigmentary disorders.