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Updated: Jun 11, 2025

Author Spotlight: Anterior HR-OCT as a Non-Invasive Tool for Characterizing Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
Untapped saga of paediatric nevo-blaschkoid seborrheic keratosis
Shibhani Sudheer Hegde1, Anil Patki2, Vidyadhar R Sardesai2
1Department of Dermatology, Venereology and Leprosy, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra, India shibhani.hegde@bharatividyapeeth.edu.
Abstract:
Seborrheic keratosis (SK) has long been known to be an acquired benign tumour of adulthood. Nevo-blaschkoid pattern of SK presenting during infancy is rare and puts a clinician in a quandary regarding final diagnosis. This hypothesis of paediatric SK being a subtype of epidermal nevus (EN) has muddled the understanding of both disorders. There are histopathological pointers that differentiate seborrheic keratosis from SK-like histology of EN. Here, we present a child with blaschkoid SK with onset during infancy. Dermoscopic evaluation showed comedo-like openings suggestive of SK. The benefits of performing shave biopsy were twofold. Diagnostic confirmation of it being SK and not SK-type of EN and therapeutic option of their simultaneous removal ensured prompt management.
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