Ungual Spitz Nevus: Description of Dermoscopic Data.
Autor: | Ruiz-Arriaga LF; Dermatology Department, Hospital Regional 'Lic. Adolfo López Mateos' ISSSTE, Mexico City, Mexico., Ramírez-Hobak L; Mycology Department, Hospital General 'Dr. Manuel Gea González', Mexico City, Mexico., Del Valle DD; Surgery Department, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA., Toussaint-Caire S; Dermatopathology Department, Hospital General 'Dr. Manuel Gea González', Mexico City, Mexico., De-Anda Juárez MC; Dermatologic Surgery and Oncology Department, Hospital General 'Dr. Manuel Gea González', Mexico City, Mexico., Fonte-Ávalos V; Dermatologic Surgery and Oncology Department, Hospital General 'Dr. Manuel Gea González', Mexico City, Mexico., Vega-Memije ME; Dermatopathology Department, Hospital General 'Dr. Manuel Gea González', Mexico City, Mexico. |
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Jazyk: | angličtina |
Zdroj: | Skin appendage disorders [Skin Appendage Disord] 2022 Jul; Vol. 8 (4), pp. 346-349. Date of Electronic Publication: 2022 Mar 04. |
DOI: | 10.1159/000522375 |
Abstrakt: | Introduction: Spitz nevus is an uncommon, benign melanocytic proliferation that primarily appears on face, trunk or lower extremities of children. This lesion may share clinical and microscopical characteristics with melanoma, making it a diagnostic and management challenge. Case Report: A 13-year old male presented with an asymptomatic chronic dermatosis located on the third left-hand nail. Cutaneous examination revealed a homogeneous dark brown melanonychia which extended up to the cuticle. Upon dermoscopy, longitudinal bands measuring less than 3 mm wide of heterogeneous colors ranging from light to dark brown, and positive Hutchinson's sign were observed. Discussion/conclusion: We report the second case of a Spitz nevus ungually localized which strongly resembled an ungual melanoma with a positive Hutchinson's sign upon dermoscopy. Describing the infrequent presentation and location of the Spitz nevus poses an opportunity to establish diagnostic and management criteria in the near future. Competing Interests: The authors report no conflicts of interest. (Copyright © 2022 by S. Karger AG, Basel.) |
Databáze: | MEDLINE |
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