Inflammatory linear verrucose epidermal nevus a promising treatment case report

ABSTRACT

The description of Inflammatory Linear Verrucose Epidermal Nevus [ILVEN] was elaborated and clearly defined by Altman and Mehregan in their report of 25 cases in 1971. They considered [ILVEN] to be a distinct variety of linear epidermal nevus. The lesion of the [ILVEN] appears as an eczematous or psoriasiform band and is often mistakenly called linear psoriasis. The histological features of [ILVEN] are characteristic, and show moderate acanthosis, papillomatous thickening of the epidermis, elongation of the rete ridges, spongiosis with spotty areas of parakeratosis, and mild perivascular lymphocytic infiltrate in the upper dermis. Altman and Mehregan in their report, summarized the features of their 25 cases as follows Early age of onset, Predominance in females, Frequent in the left lower extremity, and Lesions showed marked resistance to treatment. We here present a case of Inflammatory Linear Varrucose Epidermal Nevus which first appeared at the age of 35 years, in a male, involving the right lower extremity and cleared completely after treatment by a combination of intralesional steroid and topical [steroid plus salicylic acid] without recurrence after one year follow up