These are the two types of lasers most commonly used for nevus of ota birthmark removal. The nevus of ota appears as increased pigmentation of one eye and its eyelids. Nevus or nevi if multiple is a nonspecific medical term for a visible, circumscribed, chronic lesion of the skin or mucosa. Both authors read and approved the final manuscript. Hoon hurs golden parameter therapy, a high fluence, qswitched. Nevus of ota and nevus of ito are rare dermal melanocytoses. The ota nevus or nevus fuscocaeruleus ophthalmomaxillaris, originally described by ota in 1939, is a hyper melanocytosis of the periorbital region observed more frequently in subjects of asian origin and blacks. Are qswitched lasers for nevus of ota really effective in.
Individuals with nevus of ota experience emotional and psychosocial distress related to cosmetic disfigurement and often look for treatment options. To our knowledge, no similar patient has been previously reported. Reader department of oral medicine and radiology, annoor dental college and hospital, perumattom, muvattupuzha 686673 ernakulum dist, kerala. Affected individuals have one or more nevi that vary in size.
Review on acquired bilateral nevus of otalike macules. Naevus of ota, naevus of ito and naevus of hori dermnet nz. It also occurs on the forehead, nose, cheek, periorbital region, and temple. Treatment for giant congenital nevus depends on the age of the affected individual as well as the size, location, and thickness of the nevus. However, available literature is scarce regarding the treatment of nevus of ota in skin types darker than iv. The first case of phakomatosis pigmentovascularis figure 6 was described in 1920 in a patient with generalized hemangioma and nevus. First described by ota and tanino in japan in 1939 1, its more likely to be seen in persons of asian ancestry and is typically a sporadic rather than a hereditary disorder 2. Nevus of ota symptoms, diagnosis, treatments and causes. Rml hospital and pgimer, baba kharak singh marg, new delhi 110 001, india. On examination, mottled bluegray macules were seen over the left cheek extending to. Herein we report a rare case of meningeal melanomas in a 21 years old man with malignant melanoma which was derived from an ota nevus. It is a dermal melanocytic hamartoma that presents as bluish hyperpigmentation along the. Epidermal nevi are typically seen at birth or develop in early childhood. The co2 laser is not a good tool and whomever suggested that for you was wasting your time and money.
Nevus flammeus with nevus of ota a case report indian. The nevus of ito, also known as nevus fuscoceruleus acromiodeltoideus, is very similar to nevus of ota in appearance and presentation. Acquired bilateral nevus of ota like macules, laser treatment, qswitched laser regions, the temples, the root of the nose, the alae nasi, the eyelids and the forehead. Common terms, including mole, birthmark, and beauty mark, are used to describe nevi, but these terms do not distinguish specific. Nevus of ota may be very rarely associated with the nevus of ito and other extra cutaneous features. Nevus of ota oculodermal melanocytosis, nevus fuscoceruleus ophthalmomaxillaris is a dermal melanocytic hamartoma that presents as bluishslategray hyperpigmentation along the first or second branch of the trigeminal nerve. We report a case of successful treatment of an ota nevus in a patient with fitzpatrick skin type iv with the novel 532nm solidstate picosecond laser after 2 treatments. Individuals with nevus of ota experience emotional and psychosocial distress related to cosmetic disfigurement and often look for treatment. Treatment of nevus of ota in fitzpatrick skin type vi with the 1064nm qs nd. Ota s nevus is mongolian spotlike macular blueblack or graybrown patchy pigmentation that most commonly ocurrs in areas innervated by the first and second division of the trigeminal nerve. An indian open label prospective study of 50 patients hemanta kumar kar, lipy gupta department of dermatology, std and leprosy, dr. Pdf treatment of nevus of ota in fitzpatrick skin type. Nevus of ota, a dermal melanocytic nevus, is rare in the indian subcontinent.
Phakomatosis pigmentovascularis associated with sturgeweber. Nevus of ota is also known as nevus fuscoceruleus ophthalmomaxillaris or oculodermal melanocytosis. Case presentation the patient was a 21 years old man with a neurocutaneous syndrome since childhood. A mongoloid woman had a nevus of ota, an ipsilateral congenital cataract, and upper extremity hemiatrophy. When small nevi are removed, the surrounding skin can often be pulled together with stitches. Nevus ota and nevus ito in american negroes sciencedirect.
Nevus of ota can be effectively and safely treated since the arrival of q. Among these, nevus of ota and abnom are clinically similar and both diseases cause aesthetic problems as they develop on the face and are not selflimited. Laser ablation of such lesions has been used by several clinicians. Surgery may be done to remove the nevus, particularly when there is a concern that it may develop into a melanoma. Nevus of ito is less common than nevus of ota, although the true incidence is unknown. They are forms of dermal melanocytosis in which naevus cells are found deep within the dermis. The sclera of the left eye also revealed the presence of a few bluish spots figures 3 and 4. Yag 1064 nm lasers have all been shown to effectively treat nevus of ota. Nevi of ota and ito occur most frequently in individuals of asian descent, with an estimated prevalence of 0. A and b, classic example of blue nevus showing dermal sclerosis desmoplastic blue nevus and admixture of dendritic cells and type b melanocytes.
Nevus of ota is a blue, hyperpigmented, benign dermatosis of the skin and mucosae that most often occurs unilaterally in the distribution of the ophthalmic v1 and maxillary v2 branches of the trigeminal nerve. Nevus of ota, also known as nevus fuscoceruleus opthalmomaxillaris, represents a benign partially confluent macular brownblue pigmentation of the skin and mucous membranes in the distribution of the first and second branches of the trigeminal nerve. Nevus of ota nevus fuscoceruleus ophthalmomaxillaris is a bluegray or brown irregular, often spotted skin. Only 11 cases have been documented in the english literature. Comparison of characteristics of acquired bilateral. The nevus of ota is a dermal nevus characterized by bluish pigmentation in the distribution of the first and the second division of the trigeminal nerve. Otas nevus is a congenital benign oculodermal melanocy. For successful treatment of nevus of ota, fluence settings between 2. Differential diagnosis for skin lesions of nevus of ota includes mongolian. Its a dermal melanocytosis seen along the distribution of ophthalmic and.
Nevi of ota are usually characterised by unilateral, mottled, slate blue or dark brown macules on the forehead and face around the eye area. Very often, nevus of ota occurs unilaterally in blacks and oriental women 4. The eyelid is darkened, pigment can be observed on the white of the eye and that iris may be darker compared to the contralateral iris. Usually only one eye is affects and the discoloration often follows the distribution of the trigeminal nerve. Nevus of ota is a benign dermal melanocytic nevus that typically affects asian children and women. Nevus of ota nyc laser skin surgery center of new york. Mar 02, 2018 nevus of ota is a type of dermal melanocytosis excessive melanocytes in the tissues that causes the hyperpigmentation of an eye and the surrounding area. Full length report nevus ota and nevus ito in american negroes from the departments of dermatology, wayne state university college of medicine and detroit receiving hospital hermann pinkus, m. Treatment of nevus of ota with 1064 nm qswitched nd. Nov 06, 2001 lasers have revolutionized the treatment of nevus of ota and other dermal melanocytoses. A very rare syndrome characterized by abnormal pigmentation of the eye and the skin surrounding the eye. Grayblue patches were spread over the frontal and temporal areas of bilateral face, waist, buttocks, and thigh. Nevus of ota and nevus of ito each can be seen in isolation or together.
The findings are characteristic of oculodermal melanocytosis nevus of ota, a dermal melanocytic hamartoma presenting as cutaneous facial. Nevus of ota is a blue dubious discuss hyperpigmentation that occurs on the face, most often appearing on the white of the eye. Viewing 1 post of 1 total author posts march 14, 2020 at 9. Acquired bilateral nevus of otalike macules with mucosal. Acquired dermal melanocytosis naevus of otalike macules on the. Learn more about nevus of ota from related diseases, pathways, genes and ptms with the novus bioinformatics tool. The qswitched ruby 694 nm, qswitched alexandrite 755 nm, and qswitched nd. Nevus of ota a rare pigmentation disorder with intraoral findings. Nevus of ota, also known as nevus fuscocaeruleus ophthalmomaxillaris, is a congenital benign dermal melanocytic nevus 1.
Laser treatment of ota nevi can be complicated, particularly in darker skin types, as there is a higher risk for adverse effects if the laser is not carefully employed. You want to find a practice that uses the qswitched nd. It differs in that the pigmentation is not on the face area. Nevus of ota is a type of dermal melanocytosis excessive melanocytes in the tissues that causes the hyperpigmentation of an eye and the surrounding area.
View the article pdf and any associated supplements and figures for a period of 48 hours. Nevus of ota neelam n redkar1, kavita j rawat2, siddharth warrier 3, anurag jena4 n evus of ota noo also known as congenital melanosis bulbi, 1 nevus fuscoceruleus, ophthalmomaxillaris, oculodermal melanocytosis2 and oculomucodermal melanocytosis. Dendritic cells cannot be appreciated without melanin pigmentation. The conjunctiva, sclera, cornea, retina, and optic disc may also be involved.
The nevus of ota may be associated with oral, uveal, or leptomeningeal melanosis, and malignant transformation has been reported repeatedly 2, 3. In 1916, pusey described the case of a chinese student with both scleral and facial pigmentation. Yag lasers for the treatment of nevus of ota involving a small overlap in the enrollees of this study. It presents as asymptomatic blue brown or slategray colored macules, located bilaterally on the face, without mucosal involvement.
Notably, the first published paper on the laser treatment of nevus of ota was written by dr. Mar 26, 2019 nevi of ota and ito occur most frequently in individuals of asian descent, with an estimated prevalence of 0. Nevus of ota is an uncommon pigmentation on the skin, often arising at birth but sometimes arising in childhood or teenage years. Unilateral nevus of ota with bilateral nevus of ito and. Nevus of ota in dark skinan uncommon but treatable entity. Nevus of ota a 6yearold girl presented with an asymptomatic dark patch over the left side of her face. Nevus of ota is a dermal melanocytosis, clinically localizedon skin that is innervated by the first and secondbranches of the trigeminal nerve. Nevus of ota typically presents as unilateral blueblack or slate gray macules that are located in the distribution of the first or second branches. Home forums uk voice forum ota nevus pdf editor tagged. Nevus of ota or oculodermal melanocytosis is a rare congenital hamartoma of dermal melanocytes causing a bluegray hyperpigmentation of the eye and surrounding structures. Her parents first noticed a small patch of bluish discoloration, when she was twomonthsold, that gradually increased in size and became darker in color. Nevus of ota nevus fuscoceruleus ophthalmomaxillaris is a bluegray or brown irregular, often spotted skin discoloration located on the face in the distribution of the first and second branches of the trigeminal nerve i.
He was presented with headache and mild left hemiparesia. Facial portwine stains distributed along the 3 branches of his trigeminal nerves, which suggested the existence of sws. Pigment reduction in nevus of ota following leech therapy. The nevus of ota is a misnomer because it does not contain true nevus cells and derives its pigmentation from dendritic melanocytes which are found in the reticular layer of the dermis 2. Mar 09, 2012 are qswitched lasers for nevus of ota really effective in pigmented skin. Acquired nevus of ota like macules abnom, or horis nevus, clinically presents as bilateral, bluegray to graybrown macules of the zygomatic area. It presents as a brown, blue, or gray patch on the face and is within the distribution of the ophthalmic and maxillary. Naevus of ota is on the forehead and face around the eye area. Nevus of ota, also known as congenital melanosis bulbi or oculodermal melaocytosis, is a skin condition affecting the upper third of the dermis.
A detailed history, clinical examination along with direct ophthalmoscopy and. Although uncommon, association with malignant melanoma is a complication that must be considered in the evaluation of patients with nevus of ota. Picture of skin problems nevus of ota emedicinehealth. Nevus of ota is a rare pigmented disorder affecting the skin along the distribution of trigeminal nerve. Nevus of ota definition of nevus of ota by medical dictionary. Meningeal melanomas associated with transforming ota. Introductory statement in 1938 ota presented under the somewhat cryptic title of nevus fuscocaeruleus ophthalmomaxillaris, an unusual syndrome consisting of a grayishblue, macular discoloration affecting the sclera of an eye and the ipsilateral facial skin in the area of the distribution. Naevus of ota, naevus of ito and naevus of hori are special melanocytic naevi that have a slatebrown or bluegrey colouring. Nov 12, 2015 nevus of ota is a benign dermal melanocytic nevus that typically affects asian children and women. Kabir sardana, shikha chugh, vijay garg department of dermatology, maulana azad medical college, delhi, india.
It presents as a brown, blue, or gray patch on the face and is within the distribution of the ophthalmic and maxillary branches of the trigeminal nerve. Successful treatment of ota nevus with the 532nm solid. Nevus of ota, a benign melanocytic pigmentary disorder with rare malignant transformation potential, affects 0. Hyperpigmentation of parts of the eye may occur sclera.
The diagnosis of ota nevus was made by the bilateral scleral malanocystosis. In 1938 1 and 1939 2, this condition was first reported by ota at a. Acquired, bilateral nevus of ota like macules abnom is located bilaterally on the face, appears later in life, is bluebrown or slategray in color. The nevus presents as unilateral bluegray hyperpigmented macules and patches scattered along the first and second divisions of the trigeminal nerve. Nevus of ota, or nevus fuscoceruleus ophthalmomaxillaris, is a discoloration of the skin and mucous membranes that occurs in the areas connected to the first two branches of the trigeminal nerve. Bilateral triangular alopecia was found on the temporal scalp.
Dendritic melanocytes are located in the reticular and papillary dermis with a normal overlying epidermis. Yag 43 deliver a clinically significant amount of energy and at the same time obtain a wide area of rejuvenation, a larger 6 mm spot size and low fluence were used during the last two treatments. Find, read and cite all the research you need on researchgate. Can nevus of ota inside the eye be treated similar to. Clinically, nevus of ota presents as a blue or gray patch on the face, which is congenital or acquired and is within the distribution of the ophthalmic and maxillary branches of the trigeminal nerve. Acquired bilateral nevus of otalike macules horis nevus.
The oral cavity is infrequently involved in nevus of ota. Nevus of ota nevus fuscocoeruleus ophthalmomaxillaris or ocular dermic melanocytosis is a clinical condition characterized by bluedark pigmentation, greenblue, violet, or tan spots in the eyes andor on the faces skin and lids. Both nevi are similar in all respect apart from the area of distribution. It less often presents on the forehead, upper outer eyelids, and nose. There are several types of epidermal nevus that are defined in part by the type of epidermal cell. Instead it tends to be seen on the shoulders, upper arms, axilla arm pits, deltoids and sides of the neck. The treatment of choice for nevus of ota is laser therapy. Nevus of ota or oculodermal melanocytosis is a rare congenital hamartoma of dermal. These are unusual skin discolorations in which melanocytes are found deeper than normal. Our aim was to study the cutaneous and extracutaneous manifestations of the nevus of ota. Media in category nevus of ota the following 6 files are in this category, out of 6 total. Nevus of ota, which was originally described by ota and tanino in 1939, is a hamartoma of dermal melanocytes3. Although good results may be achieved with laser ablation of these lesions, laser treatment modalities for congenital melanocytic nevi.
Apr 09, 20 the nevus of ota is usually located in the region of ophthalmic and maxillary division of the trigeminal nerve. Nevus of ota a rare pigmentation disorder with intraoral. Nevus of ota, also known as nevus fuscocaeruleus ophthalmomaxillaris, is a benign dermal melanocytic condition mostly seen as bluegray patches on the faces of more darkly pigmented individuals, especially asians, but it has been observed in all races. I dont have any of the following symptoms pseudoxanthoma elasticum osteogenesis imperfecta ehlersdanlos syndrome marfans syndrome i was wondering can nevus of ota inside the eye be treated similar to brown spot inside the eye eg.
Nevus of ota associated with a primary uveal melanoma and. Otas nevus definition of otas nevus by medical dictionary. Unlike nevus of ota, the pigmentation occurs bilaterally and symmetrically, has a late onset in adulthood, and does not involve the. Only 12 cases so far have been reported in english literature and it is rare in indian subcontinent. Patients with the nevus of ota should be examined at least every 6 months by an eyecancer specialist and a neurologist. Nevus of ota is a dermal melanocytosis seen along the distribution of ophthalmic and maxillary divisions of the trigeminal nerve.
Acquired bilateral nevus of ota like macules abnom or horis nevus was first described by hori et al. The treatment options for this condition included cryotherapy. Mar 26, 2019 nevus of ota, which originally was described by ota and tanino in 1939, is a hamartoma of dermal melanocytes. Nevus of ota with ipsilateral congenital cataract jama. Acquired, bilateral nevus of otalike macules abnom.
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