Incontinentia Pigmenti (Bloch–Sulzberger Syndrome) | Figure 2.25 A: Oculocutaneous albinism (Courtesy of Dr. Paul Getz) B: Hypomelanosis of Ito C: Incontinentia pigmenti (Reprint from Burgdorf WH, Plewig G, Wolff HH, Landthaler M, eds. Braun- Falco’s Dermatology. 3rd ed. Heidelberg: Springer; 2009) |
(Figure 2.25C) - XLD, NEMO gene mutation (NFκβ essential modulator), lethal in males; cutaneous lesions follow lines of Blaschko
- Four stages:
| | | | | Vesicular stage: vesicles in linear/whorled streaks | | Verrucous stage: hyperkeratotic linear plaques | | Hyperpigmented: linear/whorled hyperpigmentation | | Hypopigmented: hypopigmented thin streaks |
| | | | |
|
- Associated with patchy scarring alopecia, absent or peg-shaped teeth, CNS abnormalities (seizures, delayed psychomotor development), ocular disease (retinal vascular abnormalities, blindness)
|