Phakomatosis pigmentokeratotica is a rare neurocutaneous condition characterized by the combination of an organoid sebaceous nevus and speckled lentiginous nevus. It is an unusual variant of epidermal naevus syndrome. It was first described by Happle et al. It is often associated with neurological or skeletal anomalies such as hemiatrophy, dysaesthesia and hyperhidrosis in a segmental pattern, mild mental retardation, seizures, deafness, ptosis and strabismus.
Signs and symptoms Phakomatosis pigmentokeratotica consists of a speckled lentiginous naevus arranged in a checkerboard pattern and an organoid (epidermal) naevus associated with sebaceous differentiation. Other abnormalities are prevalent; these are usually neurological or skeletal and include hemiatrophy, segmental dysaesthesia and hyperhidrosis, mild intellectual disability, seizures, deafness, ptosis, and strabismus.
Causes Phakomatosis pigmentokeratotica is brought on by a multipotent progenitor cell's postzygotic HRAS mutation.
See also Skin lesion List of cutaneous conditions associated with increased risk of nonmelanoma skin cancer
References
Further reading Groesser, Leopold; Herschberger, Eva; Sagrera, Ana; Shwayder, Tor; Flux, Katharina; Ehmann, Laura; Wollenberg, Andreas; Torrelo, Antonio; Bagazgoitia, Lorea; Diaz-Ley, Blanca; Tinschert, Sigrid; Oschlies, Ilske; Singer, Sebastian; Mickler, Marion; Toll, Agusti; Landthaler, Michael; Real, Francisco X.; Hafner, Christian (2013). "Phacomatosis Pigmentokeratotica Is Caused by a Postzygotic HRAS Mutation in a Multipotent Progenitor Cell". Journal of Investigative Dermatology. 133 (8). Elsevier BV: 1998–2003. doi:10.1038/jid.2013.24. ISSN 0022-202X. PMID 23337891. Prieto-Barrios, M.; Llamas-Martin, R.; Velasco-Tamariz, V.; Calleja-Algarra, A.; Ruano, Y.; Ortiz-Romero, P.L.; Rodriguez-Peralto, J.L. (2018). "Phacomatosis pigmentokeratotica: a case of HRAS mosaicism causing rhabdomyosarcoma". British Journal of Dermatology. 179 (5): 1163–1167. doi:10.1111/bjd.16435. PMID 29430633.
External links VisualDx
