Dermatoscopic and clinical features of congenital or congenital-type nail matrix nevi: A multicenter prospective cohort study by the International Dermoscopy Society.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pham Félix, Boespflug Amélie, Duru Gérard, Phan Alice, Poulalhon Nicolas, Weiler Laura, Tanaka Masaru, Lallas Aimilios, Ogata Dai, Davaine Anne Céline, Bahadoran Philippe, Balguerie Xavier, Kamińska-Winciorek Grażyna, Tromme Isabelle, Correia Osvaldo, Kim Moon-Bum, Marghoob Ashfaq A, Linda Martin, Guitera Pascale, Meziane Mariame, Miquel Juliette, Mun Je-Ho, Argenziano Giuseppe, Bessis Didier, Bourke Johnny, Mijuskovic Zeljko, Chiaverini Christine, Corven-Benoit Cloé, Droitcourt Catherine, Skowron François, Marque Myriam, Zalaudek Iris, Rosendahl Cliff, Moreno-Ramirez David, Vabres Pierre, Haenssle Holger, Malvehy Josep, Puig Susana, Robert Caroline, Schopf Thomas R, Scope Alon, Dalle Stéphane, Thomas Luc
Аннотация
OBJECTIVE: To describe the initial clinical and dermatoscopic features of NMN appearing at birth (congenital) or after birth but before the age of 5 years (congenital-type).
METHODS: We conducted a prospective, international, and consecutive data collection in 102 hospitals or private medical offices across 30 countries from 2009 to 2019.
RESULTS: There were 69 congenital and 161 congenital-type NMNs. Congenital and congenital-type NMN predominantly displayed an irregular pattern of longitudinal microlines (n = 146, 64%), reminiscent of subungual melanoma in adults. The distal fibrillar ("brush-like") pattern, present in 63 patients (27.8%), was more frequently encountered in congenital NMN than in congenital-type NMN (P = .012). Moreover, congenital NMN more frequently displayed a periungual pigmentation (P = .029) and Hutchinson's sign (P = .027) than did congenital-type NMN.
LIMITATIONS: Lack of systematic biopsy-proven diagnosis and heterogeneity of clinical and dermatoscopic photographs.
CONCLUSION: Congenital and congenital-type NMN showed worrisome clinical and dermatoscopic features similar to those observed in adulthood subungual melanoma. The distal fibrillar ("brush-like") pattern is a suggestive feature of congenital and congenital-type NMN.