Dermoscopic features of pediatric epidermodysplasia verruciformis in dark skin: a case report with clinicopathological correlation

Kawtar El Fid; Hanane BayBay; Imane Denni; Ikram Bejja; Saadia Boughaleb; Zakia Douhi; Meryem Soughi; Sara Elloudi; Fatima Zahra Mernissi

doi:10.18203/issn.2455-4529.IntJResDermatol20263745

Authors

Kawtar El Fid Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Hanane BayBay Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Imane Denni Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Ikram Bejja Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Saadia Boughaleb Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Zakia Douhi Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Meryem Soughi Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Sara Elloudi Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco
Fatima Zahra Mernissi Department of Dermatology, Hassan II University Hospital, Faculty of Medicine, Pharmacy and Dentistry, Sidi Mohamed Ben Abdellah University, Fez, Morocco

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20263745

Keywords:

Case report, Skin of color, Dermoscopy, Epidermodysplasia verruciformis, Pediatric

Abstract

Epidermodysplasia verruciformis (EV) is a rare inherited genodermatosis associated with increased susceptibility to β-human papillomaviruses and an increased risk of cutaneous malignancy. We report the case of an 8-year-old child with Fitzpatrick skin phototype VI presenting with multiple hypopigmented verrucous lesions involving the face and upper trunk. Dermoscopy revealed well-demarcated structureless hypopigmented areas, fine white scales, and peripheral leukotrichic vellus hairs. Histopathological examination confirmed the diagnosis. The patient showed marked clinical improvement following topical adapalene. This case expands the limited literature on the dermoscopic features of EV in dark skin and highlights the diagnostic value of dermoscopy as a non-invasive tool in pediatric patients.

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