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[Epidermal nevus syndrome - a case report]
L P Marinoni1, S Giraldi, K Taniguchi
1Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil.
Jornal De Pediatria
|December 20, 2003
Summary
Epidermal nevus, a birthmark, can signal underlying Central Nervous System (CNS) conditions. Early recognition of these skin signs aids in diagnosing neurocutaneous syndromes in children.
Area of Science:
- Dermatology
- Pediatrics
- Neurology
Background:
- Epidermal nevi are congenital skin growths.
- Cutaneous manifestations can indicate underlying systemic or neurological conditions.
- Neurocutaneous syndromes link skin and nervous system abnormalities.
Purpose of the Study:
- To highlight the association between epidermal nevus and neurological symptoms.
- To emphasize the role of skin findings as early indicators of Central Nervous System (CNS) syndromes.
- To stress the importance of recognizing cutaneous markers for timely diagnosis and management.
Main Methods:
- Case report analysis.
- Review of clinical, radiological, and histopathological data.
- Evaluation of a patient with congenital epidermal nevus and subsequent neurological signs.
Main Results:
- A case of a boy with congenital epidermal nevus, facial hemihypertrophy, and ipsilateral hemimegalencephaly is presented.
- The patient experienced seizures, diagnosed via brain imaging.
- Cutaneous lesions were present from birth.
Conclusions:
- Epidermal nevi can serve as early diagnostic markers for neurocutaneous syndromes.
- Shared embryological origin (neural crest) links skin and CNS development.
- Pediatricians should be vigilant in identifying these signs for prompt diagnosis and care.