Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Dec 17:17:100579.
doi: 10.1016/j.ajoc.2019.100579. eCollection 2020 Mar.

Bilateral nevus comedonicus of the eyelids: An unusual cause of ptosis and ectropion

T Adam  1 , R Hage  1 , C Ahomadegbe  2 , V Molinié  2 , E Baubion  3 , H Merle  1
Affiliations
Case Reports

Bilateral nevus comedonicus of the eyelids: An unusual cause of ptosis and ectropion

T Adam et al. Am J Ophthalmol Case Rep. .

Abstract

Purpose: Nevus comedonicus is a rare developmental abnormality of the infundibulum of the hair follicle.

Observation: We report here an unusual case of bilateral extensive nevus comedonicus of the eyelids complicated by bilateral ptosis and ectropion of the lower eyelids. Blepharoplasty was performed on both upper eyelids. Histopathological findings on skin biopsy typically show large, grouped, dilated follicular ostia filled with keratin.

Conclusions and importance: This case is unusual as regards the late-onset (lesions first appeared at age 35) and location of the nevus comedonicus on both eyelids.

Keywords: Ectropion; Nevus comedonicus; Ptosis.

PubMed Disclaimer

Conflict of interest statement

The following authors have no financial disclosures: Adam T, Hage R, Ahomadegbe C, Molinié V, Baubion E, Merle H.

Figures

Fig. 1
Fig. 1
Before surgery Bilateral ptosis and ectropion of the lower eyelids.
Fig. 2
Fig. 2
Histopathological analysis of the superficial skin resection (hematoxylin-eosin, original magnification x 20) Numerous cysts filled with keratin in the dermis.
Fig. 3
Fig. 3
One month after surgery Ptosis was corrected.
See this image and copyright information in PMC

References

    1. Kirtak N., Inaloz H.S., Karakok M., Erguven H.G., Ozgoztasi O. Extensive inflammatory nevus comedonicus involving half of the body. Int J Dermatol. 2004;43:434–436. - PubMed
    1. Grimalt R., Caputo R. Post-traumatic nevus comedonicus. J Am Acad Dermatol. 1993;28:273–274. - PubMed
    1. Das D., Das A., Das N.K. Unilateral facial nevus comedonicus. Indian Pediatr. 2013;50:1177–1178. - PubMed
    1. El Ghelbazouris N., Ismaili N., Ahrich N. Syndrome de l’hamartome comédonien. Ann Dermatol Venereol. 2007;134:663–666. - PubMed
    1. Mendoza P.R., Jakobiec F.A., Townsend D.J. Bilateral nevus comedonicus of the eyelids. Ophthalmic Plast Reconstr Surg. 2013;29:95–98. - PubMed

Publication types

LinkOut - more resources