Abstract
Halo nevi (HN) are acquired melanocytic nevi circumferentially surrounded by a depigmented patch. HN are commonly associated with vitiligo and can be associated with uveal, mucosal, or cutaneous melanoma in certain patient populations. HN may also have localized leukotrichia of terminal hair overlying the nevus. We report a less common triad of rapid-onset HN, nonsegmental vitiligo, and premature hair graying (PHG) of scalp hair.
Highlights
Halo nevi (HN; known as Sutton's nevi) are acquired melanocytic nevi surrounded by a depigmented patch
Halo nevi (HN) are acquired melanocytic nevi circumferentially surrounded by a depigmented patch
We report a less common triad of rapid-onset HN, nonsegmental vitiligo, and premature hair graying (PHG) of scalp hair
Summary
Halo nevi (HN; known as Sutton's nevi) are acquired melanocytic nevi surrounded by a depigmented patch. A healthy 20-year-old male presented to our clinic with a five-month history of asymptomatic depigmented lesions on his trunk and diffuse graying of his scalp hair He noted an acute onset of these asymptomatic lesions slowly enlarging around nevi on his chest and abdomen. He had numerous, isolated depigmented macules and patches on the trunk, with some surrounding symmetric, evenly pigmented 3- to 6-mm brown-black macules (Figure 1) He had diffuse graying of his scalp hair without associated nevi (Figure 2). At four-month follow-up, the patient self-discontinued topical betamethasone dipropionate 0.05% ointment but continued to take gingko biloba and alpha-lipoic acid daily. He did not report new lesions or improvement to current depigmented spots. The latter was ruled out with total body skin exam and ocular exam
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