Porokeratotic adnexal ostial nevus (PAON) is a term encompassing porokeratotic eccrine ostial and dermal duct naevus (PEODDN) and porokeratotic eccrine and hair follicle naevus (PEHFN). We present the case of a 7-year-old girl who presented with hyperkeratotic verrucous papules in a blaschkolinear distribution on the sole of her left foot.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9005689PMC
http://dx.doi.org/10.1002/ccr3.5728DOI Listing

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Porokeratotic adnexal ostial nevus (PAON) is a rare adnexal hamartoma characterized by keratotic papules following Blaschko's lines, typically located on the unilateral distal extremities. Cutaneous somatic GJB2 mutations have been linked to the pathogenesis of PAON. However, the genetic mechanism underlying bilateral or extended forms, which are less documented, remains unknown.

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Article Synopsis
  • Porokeratotic eccrine ostial and dermal duct nevus is a rare skin growth that features a cornoid lamella specifically over eccrine sweat glands.
  • The article discusses a case study of a 6-year-old girl who was diagnosed with this condition, confirmed through a histopathologic examination.
  • The girl exhibited unusual white, wart-like growths on the front side of her right hip, resembling a cutaneous horn.
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Porokeratotic adnexal ostial nevus (PAON) is a term encompassing porokeratotic eccrine ostial and dermal duct naevus (PEODDN) and porokeratotic eccrine and hair follicle naevus (PEHFN). We present the case of a 7-year-old girl who presented with hyperkeratotic verrucous papules in a blaschkolinear distribution on the sole of her left foot.

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Porokeratotic adnexal ostial nevus may be misdiagnosed as wart based on clinical appearance and morphology. An accurate diagnosis through skin biopsy is crucial, as is the inclusion of rare disorders such as porokeratotic adnexal ostial nevus in the differential diagnosis.

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Article Synopsis
  • - A case study details a 17-year-old female with linear porokeratosis, a skin condition characterized by abnormal keratinization and bone resorption, showing significant improvement with a treatment of 2% cholesterol/2% lovastatin ointment.
  • - Porokeratosis involves a skin layer (cornoid lamella) that includes incorrectly matured cells and can arise from mutations in the mevalonate pathway, suggesting a complex genetic basis for the disorder.
  • - This is one of the few cases documenting bone resorption related to linear porokeratosis, with only one previous case reported involving a distal digit.
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