Nevus of Ota – an intraoral presentation: a case report

Abstract Background Nevus of Ota or “oculodermal melanocytosis” is a rare congenital hamartoma of dermal melanocytes causing a blue-gray hyperpigmentation of the eye and surrounding structures. The condition, originally described by Ota and Tanino in 1939, mainly affects the ophthalmic and maxillary...

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Main Authors: Jennifer Maguire, Deborah Holt
Format: Article
Language:English
Published: BMC 2019-06-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-019-2101-0
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author Jennifer Maguire
Deborah Holt
author_facet Jennifer Maguire
Deborah Holt
author_sort Jennifer Maguire
collection DOAJ
description Abstract Background Nevus of Ota or “oculodermal melanocytosis” is a rare congenital hamartoma of dermal melanocytes causing a blue-gray hyperpigmentation of the eye and surrounding structures. The condition, originally described by Ota and Tanino in 1939, mainly affects the ophthalmic and maxillary divisions of the trigeminal nerve. We describe the first reported case of unilateral oculodermal melanocytosis in a Caucasian woman with oral buccal mucosal involvement. Oral involvement of nevus of Ota is very rare. Case presentation A 48-year-old Caucasian woman was referred by the dermatology division to the oral medicine department at the University of Liverpool School of Dentistry with new-onset oral pigmentation to the left buccal mucosa. The patient had a previous diagnosis of oculodermal nevus. Conclusion An incisional biopsy of the left buccal mucosa was completed. The report stated that histological and immunohistochemical features were in keeping with a blue nevus, but within the context of the preexisting occulodermal pigmentation, a diagnosis of oculodermal melanocytosis, also known as “nevus of Ota,” was made. The patient will be kept under review in the oral medicine department because the progression of the lesion on the left buccal mucosa requires active monitoring owing to the potential for malignant change. The patient also requires regular review in the dermatology and ophthalmology divisions.
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spelling doaj.art-b5fa99b02f844b969e10dd3b290427102022-12-22T00:16:54ZengBMCJournal of Medical Case Reports1752-19472019-06-011311510.1186/s13256-019-2101-0Nevus of Ota – an intraoral presentation: a case reportJennifer Maguire0Deborah Holt1Our Lady’s Children’s Hospital CrumlinOral Medicine Department, Liverpool University Dental HospitalAbstract Background Nevus of Ota or “oculodermal melanocytosis” is a rare congenital hamartoma of dermal melanocytes causing a blue-gray hyperpigmentation of the eye and surrounding structures. The condition, originally described by Ota and Tanino in 1939, mainly affects the ophthalmic and maxillary divisions of the trigeminal nerve. We describe the first reported case of unilateral oculodermal melanocytosis in a Caucasian woman with oral buccal mucosal involvement. Oral involvement of nevus of Ota is very rare. Case presentation A 48-year-old Caucasian woman was referred by the dermatology division to the oral medicine department at the University of Liverpool School of Dentistry with new-onset oral pigmentation to the left buccal mucosa. The patient had a previous diagnosis of oculodermal nevus. Conclusion An incisional biopsy of the left buccal mucosa was completed. The report stated that histological and immunohistochemical features were in keeping with a blue nevus, but within the context of the preexisting occulodermal pigmentation, a diagnosis of oculodermal melanocytosis, also known as “nevus of Ota,” was made. The patient will be kept under review in the oral medicine department because the progression of the lesion on the left buccal mucosa requires active monitoring owing to the potential for malignant change. The patient also requires regular review in the dermatology and ophthalmology divisions.http://link.springer.com/article/10.1186/s13256-019-2101-0OralPigmentationNevusOtaOculodermalBuccal
spellingShingle Jennifer Maguire
Deborah Holt
Nevus of Ota – an intraoral presentation: a case report
Journal of Medical Case Reports
Oral
Pigmentation
Nevus
Ota
Oculodermal
Buccal
title Nevus of Ota – an intraoral presentation: a case report
title_full Nevus of Ota – an intraoral presentation: a case report
title_fullStr Nevus of Ota – an intraoral presentation: a case report
title_full_unstemmed Nevus of Ota – an intraoral presentation: a case report
title_short Nevus of Ota – an intraoral presentation: a case report
title_sort nevus of ota an intraoral presentation a case report
topic Oral
Pigmentation
Nevus
Ota
Oculodermal
Buccal
url http://link.springer.com/article/10.1186/s13256-019-2101-0
work_keys_str_mv AT jennifermaguire nevusofotaanintraoralpresentationacasereport
AT deborahholt nevusofotaanintraoralpresentationacasereport