同侧太田痣、伊藤痣合并多发蓝痣1例

Ipsilateral Nevi of Ota and Ito with multiple blue nevi:A case report

报告同侧太田痣、伊藤痣合并多发蓝痣1例。患者女,36岁,左侧面部、左肩部、左侧胸壁褐色斑片10余年。皮肤科检查:左侧眼周可见约11 cm×5 cm大小的褐青色斑片,左侧巩膜有褐色斑片。左肩部、左上肢、左侧胸壁可见边界清楚的蓝色斑疹,无鳞屑、溃疡。组织病理示:左侧胸壁皮损真皮内可见边界清楚的黑素细胞团块,黑素细胞呈椭圆形及梭形。左肩背部皮损真皮中部可见散在黑色素细胞浸润,与表皮平行。诊断:同侧太田痣、伊藤痣合并多发蓝痣。予手术切除左侧胸壁的蓝痣和左侧肩部的伊藤痣,随访1年皮损无复发。患者拒绝治疗面部太田痣。

A 36-year-old female presented with brown patches on the left face,shoulder and chest for over 10 years.Dermatological examination showed a bluish-grey patch sized 11×5 cm around the left eye and brown patch on the sclera of the left eye.Demarcated bluish macules without scales and ulcers were seen on the left shoulder,upper limb and chest.Histopathological changes included well-defined masses of melanocytes and oval or spindle melanocytes in the dermis of sample from the left chest,scattered infiltrates of pigment-rich melanocytes paralleled to the epidermis of the sample from the left shoulder.Diagnosis:ipsilateral Nevi of Ota and Ito with multiple blue nevi.The blue nevi on the left chest wall and the nevus of Ito on the left shoulder were surgically removed.No recurrence occurred during one-year follow-up.The patient refused the treatment for nevus of Ota on the face.