10.5826/dpc.1201a01
text/xml
2160-9381
1704
en
Venkatachalam Konakanchi
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
indian skin
Dermoscopy of Nevus Lipomatosus Cutaneous Superficialis in a Patient with Skin Type IV
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Research Letter
2022-02-02
2021-03-07
2022-02-02
2022-02-09
e2022001
Dermatol Pract Concept
Venkatachalam Konakanchi
2022/02/02
10.5826/dpc.1201a01
e2022001
Department of DVL, Andhra medical college, Visakhapatnam, Andhra Pradesh, India
2160-9381
indian skin
en
e2022001
Vinay K, Sawatkar GU, Saikia UN, Kumaran MS. Dermatoscopic evaluation of three cases of nevus lipomatosus cutaneous superficialis. J Dermatol Venereol Leprol. 2017;83(3):383-386. DOI: 10.4103/ijdvl.IJDVL_677_16. PMID: 28366918.
Dermoscopy of Nevus Lipomatosus Cutaneous Superficialis in a Patient with Skin Type IV
https://dpcj.org/index.php/dpc/article/download/1704/1461
                    Dermatology Practical & Conceptual


       Dermoscopy of Nevus Lipomatosus Cutaneous
        Superficialis in a patient with Skin Type IV
                      Boina Kinnera1, Sreeramu Suggu1, Venkatachalam Konakanchi1


1 Department of DVL, Andhra medical college, Visakhapatnam, Andhra Pradesh, India



Key words: Dermoscopy, NLCS, cerebriform appearance, Indian skin
Citation: Kinnera B, Suggu S, Konakanchi V. Dermoscopy of nevus lipomatosus cutaneous superficialis in a patient with skin type IV.
Dermatol Pract Concept. 2022;12(1):e2022001. DOI: https://doi.org/10.5826/dpc.1201a01
Accepted: April 8, 2021; Published: January, 2022
Copyright: ©2022 Kinnera et al. This is an open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted
noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Dr. Konakanchi Venkatachalam, Department of DVL, Andhra medical college, Visakhapatnam, Andhra Pradesh,
India. Email: drkvchelam99@gmail.com




Introduction
Nevus lipomatosus cutaneous superficialis (NLCS) is a
hamartomatous condition characterized by the presence
of mature lipocytes in the dermal tissue [1]. Very few case
reports had been published on the dermoscopic appearance
of NLCS. We, herein, describe the dermoscopic appearance
of NLCS in the skin of an Indian man.


Case Presentation
A 32-year-old man with skin type IV presented with a 1-year
history of a slowly growing painless swelling, which consisted
of papules grouped into a papillomatous plaque over the
                                                                         Figure 1. Skin-colored papules forming a plaque over the left
left side of his lower back (Figure 1). Dermoscopic exam-
                                                                         lumbar area.
ination was done using a DermLite DL4 dermatoscope
(×10) with polarized mode and pigment-enhancing mode. It
showed a cerebriform pattern with sulci and gyri, multiple               of white homogenous area at the periphery (Figure 2A).
yellow-colored structureless areas, white structureless areas,           The prominence of yellowish structures around hair follicles was
meshwork-like pigmented lines, where a few lines were seen               not noted in this case, as has been described in literature on sim-
as 2 parallel lines, keratotic plugs in the sulci, and a rim             ilar phototype. The pigment-enhancing mode on dermoscopy




Research Letter | Dermatol Pract Concept. 2022;12(1):e2022001                                                                             1
      Figure 2. (A) Dermoscopy showing yellow structureless areas (orange circle), keratotic plugs in the sulci (red square), white
      structureless areas (blue circle), parallel line pattern (green circle), and a peripheral white homogenous area (black arrow). (B)
      Enhancement of structureless yellow areas on pigment-enhancing mode.



showed enhancement of the yellow structureless areas                     Conclusions
(dermal lipocytes) and white structureless areas (dermal colla-
gen) which further favors the diagnosis of NLCS (Figure 2B).             Dermoscopy serves as a non-invasive tool in the diagnosis of
The cerebriform surface seen on dermoscopy represents the                NLCS and helps to differentiate it from other cutaneous con-
uneven surface formed by sulci and gyri, the yellow structure-           ditions like lymphangioma circumscriptum, nevus sebaceous
less areas represent dermal adipocytes, the presence of a regu-          and neurofibromatosis.
lar pigment indicates the relative histological preservation of
the normal rete ridges [2], and the white structureless areas
                                                                         References
represent the perifollicular fibrosis and thickened collagen in
the dermis. Our findings are consistent with the dermoscopic              1. Bhushan P, Thatte SS, Singh A. Nevus lipomatosus cutane-
features described previously by Vinay et al who described 5                 ous superficialis: A report of two cases. Indian J Dermatol.
                                                                             2016;61(1):123. DOI: 10.4103/0019-5154.174153. PMID:
features of NLCS: cerebriform appearance, web-like regular
                                                                             26955147; PMCID: PMC4763661.
pigment network, rim showing a white veil, yellowish struc-
                                                                          2. Vinay K, Sawatkar GU, Saikia UN, Kumaran MS. Dermatoscopic
tureless areas, and comedo-like openings [2]. The differentials              evaluation of three cases of nevus lipomatosus cutaneous super-
include lymphangioma circumscriptum, nevus sebaceous and                     ficialis. J Dermatol Venereol Leprol. 2017;83(3):383-386. DOI:
neurofibromatosis.                                                           10.4103/ijdvl.IJDVL_677_16. PMID: 28366918.




2                                                                          Research Letter | Dermatol Pract Concept. 2022;12(1):e2022001
