Becker’s Nevus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Becker’s Nevus, Diagnosis and Treatment and Related Diseases
Last week a medical student came to see me for the removal of stitches for a punch biopsy done by his skin specialist in his university in Adelaide, Australia.
He has scattered hyper-pigmented rash through his back and front of chest for the past 4 months.
In spite of treatment the rash had not improved so the skin specialist decided to do a punch biopsy for histological examination under the microscope.
He was informed that the rashes were a form of Becker’s nevus which normally has overgrowth of hair but because he was an asian and devoid of hair on the chest and back, there was no overgrowth of hair on his body.
Treatment is normally by the use of laser to remove the disfiguring rashes.
Becker’s Nevus is regarded as a pigmented hamartoma of skin (benign, focal malformation); a hamartoma is a developmental anomaly occurring in childhood.
The term, Becker’s nevus, is actually wrongly named because it is is not a true nevo-melanocytic lesion.
Becker’s Nevus produces:
1. Abnormal skin discoloration,
2. Abnormal hair growth, and
3. Thickening of skin (verrucous skin surface)
It is a rare disorder that mostly affects males.
Becker’s Nevus occurs during one’s childhood or adolescent stage and the skin lesions are mostly seen on the shoulders and back
Becker’s Nevus may manifest significant complications, such as acne or cosmetic disorders.
Sometimes, melanoma (a type of skin cancer) is known to form from this skin lesion
Becker’s Nevus is known to happen periodically and the cause is largely not known
This disorder is not congenital (not evident at birth).
All racial and ethnic groups are at risk and there is no specific preference observed
Both males and females are involved, though the frequency of Becker’s Nevus is much higher in males compared to females.
The male-to-female ratio derived from documented cases is about 6:1.
Cause
The cause of Becker’s Nevus formation is not known
Genetic mutations (or genetic defects) have been suspected by doctors in some patients, but these have not been well-featured
It is a hamartoma of ectodermal and mesodermal offshoots that is believed to be hormonally reactive given the augmented smooth muscle and peri-pubertal growth.
Androgen receptor assays have shown marked rises in the number of androgen receptors in lesional skin when compared with contra-lateral non-lesional skin.
The increased presence supporting increased sensitivity to androgens is the findings of:
1. Hypertrichosis,
2. Acanthosis,
3. Dermal thickening,
4. Sebaceous hypertrophy and
5. Co-localized acne.
Symptoms:
1. It is a benign disorder that happens as a growth abnormality
2. Abnormally hyper pigmented skin is present.
3. There is also the presence of a thickened skin and unusual hair overgrowth at the site
4. The skin lesion may be painless and non-itchy
5. Becker’s Nevus can happen anywhere on the body.
Diagnosis
A Becker’s Nevus is diagnosed through these tools:
1. Complete medical history with a proper physical examination
2. Dermoscopy: A dermoscope is a diagnostic tool where a dermatologist examines the skin using a special magnified lens
3. Wood’s lamp examination
4. Skin biopsy:
Treatment
1. The doctor may select to regularly observe the benign tumor; a “wait and watch” approach may be followed.
No treatment is normally required
2. If required, a surgical excision (or laser therapy) and complete removal of the lesion
3. If there is Becker’s Nevus linked acne, then treatment therapy for acne may be indicated
4. Laser therapy may also be indicated for hyper-pigmentation and hyper-trichosis
TABLE OF CONTENT
Introduction
Chapter 1 Becker’s Nevus
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 T
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Becker’s Nevus, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Becker’s Nevus,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2018 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Becker’s Nevus, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Becker’s Nevus)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Becker’s Nevus
Last week a medical student came to see me for the removal of stitches for a punch biopsy done by his skin specialist in his university in Adelaide, Australia.
He has scattered hyper-pigmented rash through his back and front of chest for the past