Skin nontumor

Pigmentary disorders

Linear and whorled nevoid hypermelanosis



Last author update: 1 April 2013
Last staff update: 28 August 2020

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PubMed Search: Linear and whorled nevoid hypermelanosis

Christopher S. Hale, M.D.
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Cite this page: Hale CS. Linear and whorled nevoid hypermelanosis. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/skintumormelanocyticlinearandwhorled.html. Accessed March 19th, 2024.
Definition / general
  • Rare skin disorder, often in first weeks of life, with swirls and streaks of macular hyperpigmentation along lines of Blaschko (Wikipedia)
  • Usually not associated with other abnormalities (Pediatr Dermatol 2007;24:205)
Diagrams / tables

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Lines of Blaschko

Clinical features
  • Swirls and whorls of hyperpigmented macules in reticulate pattern along Blaschko lines
Case reports
Treatment
  • No satisfactory treatment
Clinical images

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Whorled pattern over trunk (fig. 2)

Macular hyperpigmentation

Microscopic (histologic) description
  • Epidermal melanosis
  • No pigment incontinence or melanophages
Microscopic (histologic) images

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Epidermal hypermelanosis

Diffuse melanosis (fig. 1)

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Image 01 Image 02