What Causes Sebaceous Nevus In The Left Parietal Region Of Scalp?
first of all I want this question to be directed to a skin care specialist, especially one who deals with melanoma. I am attaching 2 screenshots of a peculiar skin formation on the left parietal area of the head of the patient. There is differential skin pigmentation and uneven texture of the mole. Can you please suggest what we should do in this case?The patient is my uncle. Thanks, Regards, XXXXXXX
Sebaceous nevus (also known as sebaceous nevus of Jadassohn).
Detailed Answer:
Hello XXXXXXX
Welcome and thanks for posting your query to the forum.
I can understand your concern for peculiar skin formation over the left parietal region of your uncle's scalp. As per the appearance I keep a possibility of sebaceous nevus (also known as sebaceous nevus of Jadassohn) rather than melanoma. In view to diagnose the same and help you best I humbly request you to kindly provide certain important points so the I can guide you best:
-Since exactly how long he has this condition.
- Is there any itching over the same.
- Are you over weight or what is your height and weight.
- Had he taken any treatment for the same.
Hope to hear soon from your side.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY
Thanks for your reply. The answers to your questions are as below:
-Since exactly how long he has this condition-he has this condition since 2005.
- Is there any itching over the same-no there is no itching on the location.
- Are you over weight or what is your height and weight- no he is not overweight. He weighs 74 kgs and is 5 ft 8.5 inches tall.
- Had he taken any treatment for the same-no.
Please let us know if you need any further info. Thanks.
I suggest you to meet a dermatologist and go for skin biopsy.
Detailed Answer:
Dear XXXXXXX
Welcome back to the forum and thanks for your follow up with details.
As per the clinical appearance of the lesions it appears to be Sebaceous nevus. But the point against it is the time period. In sebaceous nevus the area is present since birth or childhood. In your uncle's case it is present since 10 years which goes against the same.
In such situations in my patients the basic approach is to go for skin biopsy. I generally take a small piece of 3 millimeter from the affected skin. This skin is examined for the best possible cause an then the findings are clinically correlated.
I suggest you to meet a dermatologist and go for skin biopsy to get the exact diagnosis of the condition.
My best wishes for the earliest recovery.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY