Case Report
An 8 year-old Afghan child who was born in Ghazni province of Afghanistan, presented to our outpatient dermatology clinic with an extensive pigmented plaque over her body since birth. Her parents are first cousins with family history of spotted melanocytic nevi in her brother. Due to lack healthcare access she did not present until 8 years of age. When the lesions became symptomatic with dryness and pruritus, her parents sought evaluation and treatment. Her parents noted that she had asked many times about the dark spots and was distressed about them.
On examination, she had a dark brown melanocytic nevus with hairy rough surface that covered the entire back, reaching both anterolateral aspects of her trunk. (Shown in Fig. 1)
Multiple satellite melanocytic nevi were also observed on her face, chest, and abdomen. No clinically atypical lesions were noted in the GCMN or satellite nevus. She did not have any neurological deficits with no radiological evidence for neural involvement. The patient had a depressed affect.
She was prescribed emollient and sunscreen. We referred the patient to the psychology department for evaluation and treatment of her depression. Unfortunately the patient did not receive further investigations and treatment at dermatology department of our hospital.