Genital nevus lipomatosus cutaneous superficialis: A diagnostic challenge in a pediatric patient

Regina Liu; Julia Arzeno; Sarah Lonowski; Chandra Smart; Carol Cheng

doi:10.1111/pde.14077

Genital nevus lipomatosus cutaneous superficialis: A diagnostic challenge in a pediatric patient

Pediatr Dermatol. 2020 Mar;37(2):352-354. doi: 10.1111/pde.14077. Epub 2019 Dec 22.

Authors

Regina Liu¹, Julia Arzeno², Sarah Lonowski², Chandra Smart³, Carol Cheng²

Affiliations

¹ David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
² Division of Dermatology, Department of Medicine, University of California, Los Angeles, CA, USA.
³ Division of Pathology, Department of Medicine, University of California, Los Angeles, CA, USA.

PMID: 31867728
DOI: 10.1111/pde.14077

Abstract

Nevus lipomatosus cutaneous superficialis (NLCS) is an idiopathic hamartomatous condition characterized by the presence of mature adipose tissue in the dermis. We report a case of NLCS initially misdiagnosed as condyloma acuminata in a 14-year-old boy. This case highlights classic clinical and histologic features of NLCS. The case presented here underscores the need for a high degree of clinical suspicion in diagnosing NLCS and in differentiating benign anogenital lesions from sexually transmitted conditions to avoid unnecessary work-up and undue emotional stress.

Keywords: gluteal lesions; nevus lipomatosus cutaneous superficialis.

Publication types

Case Reports

MeSH terms

Adolescent
Condylomata Acuminata / diagnosis
Diagnosis, Differential
Genital Neoplasms, Male / pathology*
Humans
Lipomatosis / pathology*
Male
Nevus / pathology*
Skin Neoplasms / pathology*