Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin

Introduction: Becker’s Nevus (BN) is a cutaneous hamartoma characterized by localized hyperpigmentation and hypertrichosis, primarily affecting adolescent males. The condition is associated with increased androgen receptor activity and may present with variations such as follicular BN and atypical s...

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Main Authors: Siddharth Mani, Manish Khandare, Aradhana Raut, Benjith Paul
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Pigment International
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Online Access:https://journals.lww.com/10.4103/pigmentinternational_23_22
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author Siddharth Mani
Manish Khandare
Aradhana Raut
Benjith Paul
author_facet Siddharth Mani
Manish Khandare
Aradhana Raut
Benjith Paul
author_sort Siddharth Mani
collection DOAJ
description Introduction: Becker’s Nevus (BN) is a cutaneous hamartoma characterized by localized hyperpigmentation and hypertrichosis, primarily affecting adolescent males. The condition is associated with increased androgen receptor activity and may present with variations such as follicular BN and atypical site involvement. Despite its benign nature, accurate diagnosis through non-invasive methods like dermoscopy is crucial. Material and Methods: This study, conducted from September 2020 to January 2022, analyzed six male patients with clinically diagnosed BN. Dermoscopic examination using a non-contact polarized light dermatoscope was followed by punch biopsies. Four dermatologists independently evaluated the dermoscopic findings, which were then correlated with histopathological features. Results: All patients exhibited a prominent pigmentary network, with perifollicular hypopigmentation and terminal hair in the majority. Histopathology revealed acanthosis and increased basal layer pigmentation in all cases. Follicular BN variants were observed in two patients. Conclusion: Dermoscopy proved effective in identifying specific features of BN, reducing the need for invasive biopsies. This study enhances the understanding of BN's dermoscopic and histopathological characteristics, particularly in Indian patients.
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spelling doaj-art-c8fd29babb4a4c5590f7c463751264b12025-08-20T03:24:48ZengWolters Kluwer Medknow PublicationsPigment International2349-58472025-01-01121616610.4103/pigmentinternational_23_22Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skinSiddharth ManiManish KhandareAradhana RautBenjith PaulIntroduction: Becker’s Nevus (BN) is a cutaneous hamartoma characterized by localized hyperpigmentation and hypertrichosis, primarily affecting adolescent males. The condition is associated with increased androgen receptor activity and may present with variations such as follicular BN and atypical site involvement. Despite its benign nature, accurate diagnosis through non-invasive methods like dermoscopy is crucial. Material and Methods: This study, conducted from September 2020 to January 2022, analyzed six male patients with clinically diagnosed BN. Dermoscopic examination using a non-contact polarized light dermatoscope was followed by punch biopsies. Four dermatologists independently evaluated the dermoscopic findings, which were then correlated with histopathological features. Results: All patients exhibited a prominent pigmentary network, with perifollicular hypopigmentation and terminal hair in the majority. Histopathology revealed acanthosis and increased basal layer pigmentation in all cases. Follicular BN variants were observed in two patients. Conclusion: Dermoscopy proved effective in identifying specific features of BN, reducing the need for invasive biopsies. This study enhances the understanding of BN's dermoscopic and histopathological characteristics, particularly in Indian patients.https://journals.lww.com/10.4103/pigmentinternational_23_22becker’s nevusdermoscopy
spellingShingle Siddharth Mani
Manish Khandare
Aradhana Raut
Benjith Paul
Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin
Pigment International
becker’s nevus
dermoscopy
title Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin
title_full Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin
title_fullStr Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin
title_full_unstemmed Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin
title_short Clinical, dermoscopic, and histopathological analysis of Becker’s nevus (BN): A case series in Indian skin
title_sort clinical dermoscopic and histopathological analysis of becker s nevus bn a case series in indian skin
topic becker’s nevus
dermoscopy
url https://journals.lww.com/10.4103/pigmentinternational_23_22
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AT aradhanaraut clinicaldermoscopicandhistopathologicalanalysisofbeckersnevusbnacaseseriesinindianskin
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