The new term Becker nevus syndrome is proposed for a phenotype charact
erized by the presence of a particular type of organoid epithelial nev
us showing hyperpigmentation, increased hairiness and hamartomatous au
gmentation of smooth muscle fibers, and other developmental defects su
ch as ipsilateral hypoplasia of breast and skeletal anomalies includin
g scoliosis, spina bifida occulta, or ipsilateral hypoplasia of a limb
. The present review includes 23 cases that can be categorized under t
his designation. The Decker nevus syndrome usually occurs sporadically
. The associated anomalies tend to show a definite regional correspond
ence, suggesting a common origin from an early postzygotic mutation. (
C) 1997 Wiley-Liss, Inc.