Can a benign epidermal nevus syndrome cause any risks?
And my last even more neurotic question (I will no longer google medical conditions anymore!!!) ... of course my neurotic online research led me to some information saying that a certain type of epidermal nevus (epidermolytic??) could be related to a gene mutation that could be passed along to offspring, with them having possible serious skin scaling conditions, etc. Again, he has just one solitary small epidermal nevus. No biopsy was done, as the PA did not feel it was necessary. Do you feel there is any need for me to worry about that potential genetic mutation? Thank you so much for reading my long and neurotic question.....just when you thought you'd probably seen and heard it all, along comes a google-induced neurotic question (any other parent probably would have just taken a note of what the Derm said for what it was, and just been reassured at that point!).
Kindly send few good resolution pictures
Welcome and thanks for sending your query to the forum.
I can understand your great concern regarding the patch in your elder son.
To give you best of my opinion regarding the same I humbly request you to kindly send few good resolution pictures of the affected area. Rest, I greatly appreciate your part of concern as my self-being a father can very well understand your part of concerns. So just relax and please send a few pics so that I can guide you better.
Dr Sanjay Kanodia
Again, it looks a lot like some of hr images I've googled. I first noticed it when he was about ten years of age, it started as a light brown patch resembling cafe au lait spot, and his pediatrician was never concerned about it. Throughout the years it's darkened and thickened a bit as he's gone through adolescence. It has not grown or changed in the last several years. It is anout 3/4 of an inch and looks like three small papules grouped together. The Derm did examine it with an dermascope and diagnosed it as a linear epidermal nevus with no hesitation.
Sorry that I can't fulfill your request of an image. If we assume it's just a small, solitary epidermal nevus of that size (he has no others), would you be able to answer my questions based upon that? Thank you!!"
Relax as these are totally normal and common
Welcome back and thanks a lot for your swift follow up.
Though pictures would had been the best part of explains the things by its own, even then based on the clinical diagnosis I reassure you for the simple benign nature of epidermal nevi.
I very often encounter such kind of lesions in my day to day practice. And not be blame you for anything but almost all the parents are actually very much worried just like you. In all these cases the best part of thing I do is reassurance and counseling. Even then for some very anxious patients and parents I ablate the lesion with Lasers.
Overall I reassure you cent percent that based on the clinical diagnosis of the treating Dermatologist I also agree with total benign nature of the affected area.
You should relax and do not correlate to anything including any syndromes. The gene mutation and test of the things are actually technical terminology which you should vanish off from your mind.
Relax completely and enjoy the weekend.
My best wishes for XXXXXXX
Dr Sanjay Kanodia
My major trigger has been googling these conditions, which invariably leads to references to obscure and rare conditions, and when you're suffering from health anxiery it becomes next to impossible to separate them from reality (I'm currently going through peri-menopause and I am convinced my hormonal changes are exacerbating my otherwise controllable anxiety!)
No more medical googling for me! But I thank you immensely for talking me out of my unrealistic panic on this one!
One last question... XXXXXXX has been diagnosed with keratosis pilaris (his father has it as well), and oftentimes in the cold winter months here in the northern US the palms of both of his hands get dry and the skin peels; moisturizing lotions seem to help. Of course, in my neurotic googling of epidermal nevi I was somehow brought to a reference of palmar something or other, related to that keratin gene mutation (just when you thought you heard it all lol!). Can I just presume more realistically that this is just some simple
exzema and nothing worrisome?
Thank you again so very much for you kindness and compassion Dr. Kanodia!!!
Keratosis pilaris is simple condition of hair follicles
Keratosis pilaris is simple condition of hair follicles and oil glands. It has got no correlation with anything specific. So just do not worry about any disease related thing with it.
I hope you must you must be relaxed to all the simple facts.
Dr Sanjay Kanodia
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