A six-year-old boy presented with an eruption comprising multiple psoriasiform plaques, arranged in linear bands distributed along the lines of Blaschko and confined to the left side of the body. We believe that the eruption is true psoriasis, occurring in an unusual naevoid distribution. The existence of a genuinely naevoid form of psoriasis has frequently been debated, and has tended to be discounted. We believe that we have encountered a child who has this condition.

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http://dx.doi.org/10.1111/j.1365-2133.1989.tb01383.xDOI Listing

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A Case of Naevoid Blaschkoid Psoriasis in a Two-Year-Old Child.

Indian J Dermatol

January 2023

Department of Dermatology, IPGME&R, SSKM Hospital, Kolkata, West Bengal, India.

Article Synopsis
  • Psoriasis is a chronic skin condition that can present in various forms, including a rare subtype known as Naevoid Blaschkoid psoriasis, which appears along specific skin lines and was observed in a two-year-old boy with lesions on various parts of his body.
  • Histopathological examination confirmed the presence of psoriasiform dermatitis and showed that the boy had no other related skin issues or significant family history.
  • Naevoid Blaschkoid psoriasis is similar to inflammatory linear verrucous epidermal nevus (ILVEN) but differs in presentation and response to treatment, with the latter being more intense and generally resistant to psoriasis therapies.
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Inflammatory linear verrucous epidermal nevus (ILVEN) is a pruritic, erythematous scaly epidermal nevus which follows a Blaschko's lines. Lichen striatus, linear Darier disease, linear porokeratosis, linear lichen planus, linear psoriasis, and the verrucous stage of incontinentia pigmenti may all have similar clinical presentations as the linear verrucous epidermal nevus. ILVEN can be distinguished from true nevoid psoriasis by pruritus and lack of response to antipsoriatic treatments.

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