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Blaschko's lines

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Blaschko's lines, also called the Lines of Blaschko, are skin lines invisible under normal conditions

  • thought to represent pathways of epidermal cell migration and proliferation during the development of the fetus

  • become apparent when some diseases of the skin or mucosa manifest themselves according to these patterns
    • Blaschko lines are consistently V-shaped on the upper spine, S-shaped on the abdomen, inverted U-shaped from the breast area to the upper arm, and perpendicular down the front and back of the lower extremities
  • they do not correspond to nervous, muscular, or lymphatic systems
  • can be observed in other animals such as cats and dogs
  • German dermatologist Alfred Blaschko is credited for the first demonstration of these lines in 1901

  • Many inherited and some acquired skin conditions are distributed along Blaschko lines 

Congenital Disorders

X-linked dominant skin disorders

Incontinentia pigmenti

Focal dermal hypoplasia

CHILD syndrome

MLS syndrome

Oral facial digital syndrome

Type 1 X- linked dominant chondroplasia punctata

Epithelial naevi

Inflammatory linear verrucous epidermal naevus

Sebaceous naevus

Non-organoid epidermal naevus

Pigmentary disorders

Naevus achromicus (including hypomelanosis of Ito)

McCune-Albright syndrome

Segmental vitiligo

Acquired disorders

Disorders with polygenic background

Linear lichen planus

Linear cutaneous lupus erythematosus

Lichen striatus

Linear morphoea

Reference:

  • Blaschko's lines- Wikipedia, the free encyclopaedia
  • Textbook of Dermatology .Ed Rook A, Wilkinson DS, Ebling FJB, Champion RH, Burton JL. Fourth edition. Blackwell Scientific Publications.

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