Abstract
Becker’s nevus commonly presents as a unilateral hyperpigmented, irregular macule or patch or verrucous plaque with a variable hypertrichotic element located on the shoulder, anterior chest or scapula, and back, and rarely, on the face, neck, and extremities. A number of cutaneous associations were reported with Becker’s nevus. However, coexistence of vitiligo and Becker’s nevus is a rare finding. We report such a finding in a 15-year-old boy who presented with Becker’s nevus on the left side of chest and upper arm and had developed depigmented lesions on the same site over the past 5 months. Diagnosis of both the types of lesions was confirmed by histopathology. Role of cytokines may be proposed in the development of vitiligo and other immunologically mediated diseases on the existing Becker’s nevus on the basis of the concept of ‘Wolf’s isotopic response’ and ‘Ruocco’s immunocompromised district’.
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