Generalized ILVEN or Blaschkoid Psoriasis: A Persistant Dilemma

Apurva Kaushal; Pratik Gahalaut; Nitin Mishra; Madhur Kant Rastogi

Apurva Kaushal Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, India
Pratik Gahalaut Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, India
Nitin Mishra Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, India
Madhur Kant Rastogi Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly, India

Abstract

DOI: https://doi.org/10.3126/njdvl.v17i1.22048

A 24-year-old man presented with itchy verrucous, scaly red-brown papules, & linear plaques distributed in a blaschkoid pattern all over the body since last 20 years associated with itching. A skin biopsy was consistent with ILVEN (inflammatory linear verrucous epidermal nevus). Histopathologically, it can be difficult to distinguish it from linear psoriasis. It may respond to conventional anti-psoriatic therapies like potent topical corticosteroids applied under occlusion, or systemic treatments like acitretin.

Keywords: Interleukin-1, Isotretinoin, Musaicism, Nevus, Psoriasis