Erişkin bir Diyabetes Mellitus Hastasında Geç Başlangıçlı Nevüs Komedonikus

Abstract

Nevus komedonikus (NC) klasik olarak dilate foliküler ostia ve komedon benzeri hiperkeratotik foliküler tıkaçlarla karakterize pilosebase ünitenin bir malformasyonu olarak tanımlanır. Klasik tipin yanı sıra, inflamatuar lezyonların eşlik ettiği inflamatuar NC (NC süpürativa) literatürde nadiren bildirilmiştir. 47 yaşında diyabetes mellituslu (DM) bir erkek hastada alın orta hattında yerleşen geç başlangıçlı NC süpürativa olgusu sunulmuştur. Hastanın NC sendromu için yapılan iskelet sistemi, merkezi sinir sistemi, diş ve göz muayeneleri normaldi. NC süpürativa ve DM birlikteliğinin tesadüfi olmayabileceğini düşünüyoruz. NC suppurativa hastalarının DM belirtileri açısından düzenli olarak izlenmesi yararlı olabilir. Gelecek çalışmalarda DM ile ilişkiyi netleştirmek için NC süpürativa’lı tüm hastalarda DM açısından tanısal testler yapılmalıdır.

Keywords

• Diyabetes mellitus
• epidermal nevüs
• kıl folikülü
• hamartom
• hidradenit süpürativa

LATE-ONSET NEVUS COMEDONICUS IN AN ADULT PATIENT WITH DIABETES MELLITUS

Abstract

Nevus comedonicus (NC) is classically defined as a malformation of the pilosebaceous unit characterized by dilated follicular ostia and comedone-like hyperkeratotic follicular plugs. In addition to the classical type, inflammatory NC (NC suppurativa) is accompanied by inflammatory lesions and has been rarely reported in the literature. We report a case of late-onset NC suppurativa on the midline of the forehead in a 47-year-old male patient with diabetes mellitus (DM). Skeletal, central nervous system, dental, and ophthalmologic examinations for NC syndrome were normal. The coexistence of NC suppurativa and DM may not be incidental. Regular monitoring of patients with NC suppurativa for signs of DM could be beneficial. Future studies should include diagnostic tests for DM in all patients with NC suppurativa to clarify the potential link with DM.

Keywords

• Diabetes mellitus
• epidermal nevus
• hair follicle
• hamartoma
• hidradenitis suppurativa

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