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Case Reports
. 2024 Jun 11;16(6):e62184.
doi: 10.7759/cureus.62184. eCollection 2024 Jun.

Managing a Misdiagnosed Case of Nevus Sebaceous

Kshitiz Lakhey  1 , Namratha Puttur  1 , Rohan Manoj  1 , Priya Garg  1 , Nishtha Malik  1
Affiliations
Case Reports

Managing a Misdiagnosed Case of Nevus Sebaceous

Kshitiz Lakhey et al. Cureus. .

Abstract

A male patient in his early 20s presented to our outpatient clinic, having previously been misdiagnosed and unsuccessfully treated as a case of viral warts. Dermoscopic and histopathological evaluations revealed characteristic features of the nevus sebaceous. The lesion was eventually treated with an erbium-doped yttrium aluminum garnet (Er:YAG) laser after the patient declined surgical excision. Nevus sebaceous often presents with verrucous surfaces that make misdiagnosis common. A correct diagnosis is crucial due to potential neoplastic transformations. Histopathological analysis is essential for both the confirmation of disease and the exclusion of malignancy. Full-thickness surgical excision remains the preferred treatment.

Keywords: co2 laser; dermoscopy; erbium:yag laser; full thickness excision; histopathology examination; nevus sebaceous; nevus sebaceous of jadassohn.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. A: Gross examination of the lesion showing a verrucous surface and solitary nodule. B: Appearance of the lesion under polarized dermoscopy (DermLite DL5, Aliso Viejo, California)
A: Polymorphic vessels; B: exophytic papules
Figure 2
Figure 2. A: Hematoxylin and eosin (H&E) section showing acanthosis, papillomatosis, and abnormal pilosebaceous units (10x). B: Higher magnification showing the abnormal epidermis and pilosebaceous units (40x)
See this image and copyright information in PMC

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