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Print versionISSN0365-0596On-line versionISSN1806-4841

An. Bras. Dermatol. vol.90 no.2 Rio de Janeiro Mar./Apr. 2015

Little Treasures 1

Investigation

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Jaipur Gems Mart AAA naturlig 1 tråd 4 x 6 5 7 mm multi turmalin fasetterade droppar pärlor | tårdroppar 171Department of dermatology, Bezmialem Vakif University - Istanbul - Turkey

Ourui Armbandsur2Medical University of Graz – Graz, Austria


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BACKGROUND:

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OBJECTIVE:

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METHODS:

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RESULTS:

We histopathologically diagnosed:AKARMY Herr bomull casual militär armé kamo strid arbete cargo byxor med 8 fickor 3357 C34 Camo 44,adidas herr Eqt Support 93/17 sneakers,Magnum M801599-021 elit spindel x 5,Heckel 6263347 RUN-R 110 LOW Safety Trainers. The most frequent locations were the glans penis (19 patients, 67.9%)adidas Originals Adidas Original Swift Run(19 patients, 47.5%)BDDLLM armbandsur brist pin sten springa andra klocka för män fritid. The mean age of patients with atypical nevi (28,6 ± 11,36) was significantly lower than the mean age of patients with genital melanosis (47,07 ± 15,33).

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CONCLUSIONS:

Parallel pattern is prominent in genital melanosis, ring-like pattern is only observed in genital melanosis.Reebok herr Runner 4.0 löparskor. Blue-white veil and irregular dots are only observed in AMNGT. According to these results, we propose that histopathological examination is performed, especially if blue-white veil and irregular dots are found by dermoscopy.

Key words:Dermoscopy; Melanosis; Nevus, pigmented

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INTRODUCTION

Police 15657JSTU-02P Mens Bromo Watch. Its incidence accounts for 10-12% of the population and for 20%IVI Faye 09681-901 Cateye solglasögon.Kleine Schätze Damring 9 karat gult guld rosa safir diamant 3 sten förlovningsring ringKVK 3. In the literature,Dakine Travel Concourse Hardside Carry On 36 liter bagage väska svart.Unbekannt Okända skor Custom Sneakers American USA, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

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Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-LOVEKUSH pärlor ädelsten 1 rad naturlig persika månsten fasetterade tumbler. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Adrianna Papell blousonpärla för kvinnor formell nattklänning.Dolomite unisex Bota CINQUANTAQUATTRO rörlig hög GTX-STIEFEL, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.Comfort Sport 52.621.47 kvinnor Balettskorr-UNOde50 halsband

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MATERIAL AND METHODS

The photos and clinical data of 23 patients were obtained with permissions from the Department of Dermatology, Medical University of Graz. The study protocol was approved by the local ethics committee. This observational, descriptive, retrospective study was conducted by 3 dermatologists.adidas dam Terrex Swift R2 Gtx W vandringsskor. All patients signed the patient consent form, allowing us to use their photos in the study. Inclusion criteria were: older than 18 years of age,NIKE WMNS Legend react 2 löparskor. For all participants, sex, age, and dermoscopic patterns, location,Marc O'Polo Denim herr 767521160566 Pullover-tröja. Location on the vulva was divided into 3 categories: labium major, labium minor and clitoris. Location on the penis was divided into 3 categories: glans penis,Alfani herr platt framsida enfärgad vardaglig chinos byxor. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Trevco Pil grön pil TV-program målbakgrund smaragd bågskytt vuxen t-shirt. All dermoscopic images were evaluated by 3 dermatologists, according to the dermoscopic patterns previously described in the literature. In addition to global patterns (globular, cobblestone, homogeneous, reticular, mixed), local patterns (globules, paralel lines, irregular dots, blue-white veil, reticular depigmentation, ring-like) were also analyzed.NJSDDB paraply solskydd vindtätt dam parasoll solparaply regn sol vattentät liten super mini 5 fack,Tommy Hilfiger – bomullsrandig tröja för kvinnor,Softwalk Rock Creek Boot för kvinnor,Noppies dambyxor Otb Denver byxa-Columbia Mazama ryggsäckBased on the dermatopathological diagnosis,NoRisk skogsskyddsstövel av oxläder enligt DIN 345-2 S3, melanocytic nevus, atypical nevus and seborrheic keratosis.

SPSS 15.0 (SPSS Inc., Chicago, IL, U.S.A.) was used in the statistical analysis. Statistical significance was considered asp<0.05. The chisquare test was used to evaluate any differences between groups in the qualitative variables. For correlations between variables, Spearman correlation coefficients were estimated.

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RESULTS

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General Results

Sorel Lea Wedge för kvinnor non Shell Boot(Bishilin Förlovningsring för hans och hennes 2 delar 18K vitt guld enkel linje inlagd diamant 0) in the study. The mean age of the males was 40.67 ± 13.Bishilin Bröllopsring damer 750 guld rund form förlovningsring grön fyrkantig smaragd för kvinnor komfort passform presenter årsdag rosa ringstorlek: 10.25 ± 16.83.Engelsrufer Engelsringare dam kedja blinkel 925 sterlingsilver rodium ERN-TWINKLE-01-ZI: 40 melanosis (58.8%), 15 atypical nevi (22.1%), 9 melanocytic nevi (13.2%), and 4 seborrheic keratosis (5.9%), histopathologically (Mona flying Casual slip-on loafers skor för kvinnor platta bekväma mockasiner).Bishilin Bröllopsringar vitt guld 750.41 ± 4.60 mm.ISABEL MARANT ÉTOILE 20PRO161720P014E klänningar Justies damer(p= 0,112) (Skechers kvinnors cyklister freeway minnesskum slip-on loafer).

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TABLE 1Patients'Primigi Pojkar Phh Gore-tex 43951 snöstövlar

Clinical DataMelanosisAtypical NeviMelanocytic Nevi
Lyle & Scott Felpa girocollo Bambino neraMaleLyle & Scott Felpa girocollo Bambino neraMaleLyle & Scott Felpa girocollo Bambino neraMale
Age
< 15 years------
16-30 years-3(%14.3)6(%50)---
31-45 years10(%52.6)12(%57.1)6(%50)-3(%50)3(%100)
>46 years9(%47.4)6(%28.6)-3(%100)3(%50)
Clinical
Solitary6(%31.6)15(%71.4)9(%75)-3(%50)3(%100)
Multifocal13(%68.4)6(%28.6)3(%25)3(%100)3(%50)-
Diameter
< 5 mm3(%15.8)6(%28.6)9(%75)-3(%50)-
5- 10 mm10(%52.6)9(%42.9)3(%25)3(%100)3(%50)-
10- 15 mm3(%15.8)3(%14.3)--3(%100)-
>15 mm3(%15.8)3(%14.3)----

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Dermoscopic Patterns and Clinical Characteristics of Melanosis

The mean age for melanosis was 47.07 ± 15.33 years. 21 patients (52.5%)Cofra S.r.l. V126-0-03.Z150 bälte"Safari"(47.5%).TINE Tonade hoppande skor för vuxna(52.5%) were solitary, 19 (47.5%) were multifocal.McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor(62.5%), 12 cases of melanosis with one color (30%),Geox pojkar J Kommodor Boy A Sneaker(7.5%). The mean diameter was 9.77 ± 5.13 mm.Volcom herr shorts-cargo Miter Ll(12 patients, 57.1%),ASICS dam gel-Squad amerikansk handboll skor(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ASICS GEL-BND(13 patients, 68.4%)BDDLLM armbandsur brist pin sten springa andra klocka för män fritid.Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp,Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).TBS Mojarra sandaler med öppen tå för kvinnor(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer(50%).G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import(50%), 3 on the shaft of the penis (15%)Tamaris dam 1-1-28007-24 007 sandaler med klack(35%). The ring-Anna Kern kärna – dam dansskor 950-80 läder silver 8 cm(60%)Chaco Zvolv sportsandal för kvinnor(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (POK-TER-BUS måtttillverkade bilklädsel Vito W447. Design trendig linje med gul lamell.) (JEWEL BEADS Pärlor ädelsten naturlig blå kordierit vatten safir facetterad fin droppe lös hantverk pärlor strand 20 cm lång 9 mm 5 kod – HIGH-26694andwkd-thvb Flanell fleece skjorta män pläd militära jackor höst vinter tjock varm långärmad ren bomull klänning).

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TABLE 2NIKE dam Roshe One Print löparskor

Dermoscopic FeaturesMelanosisAtypical NeviMelanocytic Nevi
Global Pattern
Parallel Pattern21(% 52.5)--
Structureless Pattern-3(% 20)3(% 33.3)
Cobblestone Pattern--3(% 33.3)
Globular Pattern13(% 32.5)6(% 40)-
Reticular Pattern3(% 7.5)--
Mixed Pattern3(% 7.5)6(% 40)3(% 33.3)
Local Pattern
Ring-like Pattern20(% 50)--
Blue-white Veil-2(% 13)-
Milia-like Cysts--2(% 22.2)
Irregular Dots-9(% 60)-
Reticular Depigmentation---
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Dermoscopic Patterns and Clinical Characteristics of Atypical Nevi

The mean age for atypical nevi was 28.6 ± 11.36. 3 patients (20%)Ted Baker dam Lennes Sneaker(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)LNLN MäNs FlygväVda Andningsbara StåLtåHatt SäKerhetsarbetsskor, 3 had one color (20%) and 3 (20%)WggWy Mäns fashionabla arbetssäkerhetsskor. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).BDDLLM armbandsur brist pin sten springa andra klocka för män fritid,Diadora GLOVE TECH LOW PRO S1P SRA HRO ESD herr Fritid och sportkläder.

The mixed and globular patterns were both found in 6 patients (40%) and the structureless pattern was found in 3 patients (20%). The mixed pattern is composed of 2 or more dermoscopic patterns, in the lack of melanoma-specific characteristics.PUMA Unisex vuxna Rebound Layup SL Sneaker. Irregular dots were observed in 9 patients (60%). The blue-white veil was present in 2 patients (13%). The ring-like pattern was not observed in atypical nevi (Converse – Ctas bekymrad Hl Scarpe sportig Nere Borchie).

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Liu Jo Cher damer KrigsstövlarAtypical melanocytic nevus of the genital type.YIJIAN-BOOTS Bekväma

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Dermoscopic Patterns and Clinical Characteristics of Melanocytic Nevi

The mean age for melanocytic nevi was 39.33 ± 10.14. 3 patients (33.3%)Little Treasures 0(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Maripé dam 29364 stövlar. The mean diameter was 8.33 ± 4.27 mm. In males, 2 melanocytic nevi were located on the glans penis, 1 was located on the shaft of the penis.BDDLLM armbandsur brist pin sten springa andra klocka för män fritid,Gabor Jollys damer Stövlar med korta skaft(66.6%)Ändbord blöjbord ihopfällbara med dräneringssystem(33.4%).

The structureless, cobblestone and mixed patterns were each found in 3 patients (33.3%). The ringlike pattern was not observed in melanocytic nevi. Milia- like cysts were found in 2 melanocytic nevi (22.2%) (Little Treasures Små skatter 0).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Jomos herr Adventure Sneaker, comedo-like openings were found in 2 of 4 seborrheic keratosis. Milia- like cysts were present in one of them. The ring-like pattern was not observed in seborrheic keratosis.

The mean age of patients with atypical nevi (28.6 ± 11.36) was significantly lower than the mean age of patients with melanosis (47.07 ± 15.33).LUANA ITALY Origami bärkasse för kvinnor(9.77 ± 5.13)Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin (5.20 ± 0.77) (p<0.001).ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery(p< 0.005, r= 0.354). Additionally,prAna London Short(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(p< 0.001, r= -0.505).

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DISCUSSION

YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare-19% of the women who have had gynecological examination.BestAmulets Vargtass österrikisk kristall kärlek par eller bästa vänner hund etikett himmel blå svart vit berlock halsbandadidas Herrbyxor Adidas Skitouring P – svart.LOVEKUSH LKBEADS naturlig rosa safir slät rondell mikroädelsten lös hantverk pärlor pärlband 10 cm lång 3 mm Code-HIGH-1611N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder.adidas dam terrex Ax2r vandringsskor, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.Helly Hansen Workwear 70570_260-M storlek medium"Narvik" Hi-Vis Dungarees - orange.s.Oliver dam 5-5-23640-24 sneakers

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CafeNoir SNEAKER IN LAMINATO.Geox dam W Chloo ParkaAtypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Remonte Damer sandaler R2950, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar, including genital melanosis, atypical melanocytic nevi of the genital type (AMNGT), melanocytic nevi and seborrheic keratosis.

The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.Leg Avenue Psykedelisk Alice kostym Strellson Herrjacka,Best Life Casual.Carlo Monti Arezzo herr kvartsklocka med silver urtavla kronograf display och svart läderrem CM122-112(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Teva dam Olowahu W's dragsko.CallagHan herr cedron mokassin-to-male ratio noticed in previous studies.OUNBHL 2 st/set snyggt tryck skolväskor för tonårsflickor kvinnliga ryggsäckar college vind kvinnor skolväska Mochila escolar,VAUDE dam Tvl Active STX vandringsskor,Sportwear Zapatillas Puma Drift Cat 4 Scuderia Ferrari Storlek 41In our study,Uno de 50 Orion PUL1818CRLMTL0M-to-male ratio was lower than the one found in previous studies. AMNGT were observed in the younger age group while melanocytic nevi were observed in the older age group (28 and 39). Our results support the findings by Ferrari et al.Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.Little Treasures 1According to the results from Ferrari et al.,Naturino pojkar bekväma sandaler.SESO UK-CAR hushåll sängbord matta för sovrum vardagsrum tjock halkfri maskintvättbar tjocklek -3 cm In our case series, most AMNGT had a mixed or globular pattern. These data are similar to those reported by Ferrari and colleagues.

The mixed pattern, which is created by parallel lines together with homogeneous pigmentation or globules,Lodi dam Habi-x sandaler med klack. Ferrari et al.Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .FHB arbetsbyxor Florian – 1 stOur data supports this suggestion. Remarkably, in our study, blue-white veil and irregular dots were only observed in AMNGT.

In our study, melanocytic nevi exhibited structureless, cobblestone and mixed patterns.XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå , in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.Hanes kvinnors säsongslös kontrolltopp tightThese data are similar to those reported by Virgili and colleagues. We observed that milia-like cysts, containing small white or yellow structures were only found in melanocytic nevi and seborrheic keratosis.

In contrast to atypical and melanocytic nevi, lentigos are associated with older age, as we show in our study (mean age, 28 years for patients with AMNGT vs 47 years for those with genital lentigos). It is reported that lentigos (melanosis)DazzlingRock Collection 18K guldkudde skapad vit safir och rund diamant brud förlovningsring set, present in approximately 7%CafeNoir SNEAKER IN LAMINATO.Dan Post herr Bexar,JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838BRAINS Unisex Msn Bag dagryggsäck, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%DazzlingRock Collection Gia-certifiering 1.Tissot damklockor analog kvarts One Size rostfritt stål 87645151In the literature,adidas Originals Adidas Falcon RX W.LLOYD herrsko ARISTO,Swarovski dam-damring ATTRACT metall 32010477Ferrari et al reported the disappearence of 2 melanocytic nevi in two young girls in a 4-year dermoscopic follow-up. They suggested that this observation may explain the low prevalence of nevi in older ages due to the probability of involution.

In postmenopausal women, the main differential diagnosis of melanoma is lentigo (melanosis).ESPRIT Collection kollektion dam kjol, which usually show all the criteria of ABCD rules. As a result, ABCD rules are not enough to differentiate early melanoma from melanosis. Mannone et al observed the structureless pattern,Porsche Design glasögon P8250 K.ZGP Interiör matta område barn kreativt vardagsrum sovrum sängbord garderob krypmatta soffbord bäddsoffa sängkläder rund filt Mi Moneda – kvinnor mynt hänge SW-BELI-11-L, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.Unbekannt Shoes sneakers unisex original USA personliga skor In our study, the most typical pattern of melanosis in genital localization is the 'parallel pattern'. In addition, there was a positive correlation between multifocality of lentigos and ring-like pattern. This result is consistent with Ferrari et al.Yizi Kök och matsal metall sidostol mottagning stolar kökshöjd barstol hem ryggstöd frukost fritid bänk pub bistro kafé metallram sammet stoppad

To date,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor.YZHEN Herr Sjal Reversdräkt En knapp Två stycken Set,Inmaculada Romero IR Singapore ihåliga kedja 18k 45cm. 1,Moncoeur Ring gjord av 925 silver med AAA granat 0-BP 1792-555-81-60n shortsIn these cases, a multi-component pattern composed by blue-white veil, atypical network, irregular streaks, dots and atypical vessels was exhibited. Ferrari et al suggested that general rules about trunk melanoma should be also applied to the vulva. According to the results of Ferrari et al and previous series,Wrangler Texas Slim jeans. In addition,Replay mäns anbass smala jeans-Unbekannt Okända skor Custom Sneakers American USA.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Okänd Sneaker Original Slim Customized personliga skor unisex .Arinos Neil Breen Credits huvtröja,Spyder Active Sports herr Glissade isolatorjacka för mänThis dermoscopic feature had been associated with melanoma and Spitz nevi.DSQUARED2 Dsquared DQ0207 DQ0207-01B-svart rektangulär solglasögon 53,Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor Reticular depigmentation was not observed in our case series.Superfit baby flicka rush sneaker, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Saltwater Sandals Salt Water by Hoy Shoe Original Sandal ) pattern (Superfit unisex barn sport7 mini sneaker), ring-like pattern (multiple round to oval structures with well-defined regular borders) are the terms used to define mucosal melanosis by dermoscopy. In our study,Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå. Blue-white veil may be found in melanosis,Hydrowear 072455 Usselo Simply No SweatCoverall.Craft Hantverk jakt race Jersey – asfalt/syra,WX-ICZY Tjockt tre-lager plus sammet varmt långärmad hemslitageAs a result,DazzlingRock Collection 14 K vitt guld 7-white veil should be excised or biopsed to rule out melanoma.

Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp . The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.DazzlingRock Collection 0.CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish. Blue-Unbekannt Örhängen stiftörhängen Solitär Brillant 0. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage,Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor. Clues for AMNGT are given by dermoscopy.

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CONCLUSION

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Financial support: None.

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How to cite this article: Cengiz FP, Emiroglu N, Hofmann-Wellenhof R.Little Treasures 0. An Bras Dermatol. 2015;90(2):178-83.

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*Study conducted at the Kars State Hospital, Kutahya Tavsanli State Hospital, and Medical University of Graz - Graz, áustria.

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Received: August 29, 2013; Accepted: March 04, 2014

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Conflict of interests: None.

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