Nevus Lipomatosus Superficialis

A 13-year-old girl presented with multiple asymptomatic, grouped, soft, skin-colored papules and plaques of sizes ranging from 0.5 × 0.5 cm to 3 × 5 cm in a zosteriform pattern on the right lower back for the last 6 years [Figure 1]. Clinical differentials of nevus lipomatosus superficialis, collagenoma, and shagreen patch were considered. On histopathology, the reticular dermis was superimposed with clusters of mature adipose tissues within bands of collagen fibers with sparing of the epidermis and papillary dermis [Figure 2].Figure 1: Soft skin-colored papules and plaques in zosteriform pattern on the right lower backFigure 2: Clusters of mature adipose tissue in reticular dermis (H and E, 40x)Based on clinico-histopathological correlation, a diagnosis of the classical form of nevus lipomatosus superficialis was made. Considering the benign nature of the lesion and the age of the patient, follow-up was advised without any intervention. Declaration of patient consent The authors certify that they have obtained all appropriate parent consent forms. In the form a parent has given their consent for her images and other clinical information to be reported in the journal. The parent understands that her name and initials will not be published and due efforts will be made to conceal her identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. Use of artificial intelligence (AI) The preparation of this manuscript was carried out entirely by the authors without the use of artificial intelligence technologies.