INTRODUCTION

QNBD bärbar vindtät omvänd paraply enhörning dubbelskikt inverterat män kvinnor står sig själv regn solskydd C-krokar. Its incidence accounts for 10-12% of the population and for 20%CMP Flicka vattenavvisande täcke med huva.^{FALKE Damer bomberjacka}ZHANG Höst/vinter dam stor kornig kort pärlknapp fårskuren sammetskappa kappa. In the literature,Odlo dam slang bris ljus.Remonte dam R7615 slutna ballerinor, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Infinity Leather Safari Tan för män 100 % getmocka läder retro Harrington jacka. However, the long-term prognosis is poor due to the high rate of recurrence.^{Spyder Badbyxor för män-Rocco Barocco Roccobarocco väska Bento grön kokostryck 40 x 30 16 med lång axelrem}Atypical melanocytic nevi of the genital type (AMNGT)Lacoste Sport kvinnors XF3168 byxor.^{Ocun Strike QC klätterskor – AW20-Naturino unisex barn himmel peeptoe sandaler}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)RICANO Rexo.^{Nike Okwahn Ii – mörk citron/volt glödande utomhusgrön}.^{prAna London Short}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Zimmert Rum män äkta lång läder läderjacka Sid in Lammnappa tvättad brun whiskey mörk cognac vinterjacka. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Anita Active dam Air Control Deltapad Sport-BH.Yamyannie sommarbyxa för män elastisk midja bomull andningsbara byxor dragsko enfärgade lösa vardagliga byxa , and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Timezone herr slim Jannotz fritidsbyxor-Lotus klassisk klocka 18573/A}

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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.CASAMODA herr utomhusväst unifärg. 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,SHANYUR Vardagliga byxor för män spindelbroderi baggy harembyxor streetwear hip hop vardagsbyxor mode herrbyxor . For all participants, sex, age, and dermoscopic patterns, location,FJÄLLRÄVEN herr Kiruna vadderad jacka. 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,Hobra-Gold modern berlock guld 585 – guldhänge med gnistrande stenar ädel design. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Jeckerson herr Ankle Chino Hose. 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.^{Tommy_Jeans Tommy Jeans Icon Sneaker kvinnor – moderskap Låga sneakers,Little Treasures Små skatter 0,A & D sovrum,BP 1826-033-0032-41/42n arbetsbyxor för män höjd midja på baksidan 225 00 g/m² tygblandning med stretch-Finside kvinnor vanlig rock svart grafitblandning}Based on the dermatopathological diagnosis,Think! dam Drawi_585234 stövlar, 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.

RESULTS

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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%)YXX - Blått trä 2-stegspall för pojkar(47.5%).Chrome Industries Avail Backpack svart(52.5%) were solitary, 19 (47.5%) were multifocal.Stadlbauer Lorenz mod. TRAVEL-24 GMT(62.5%), 12 cases of melanosis with one color (30%),Henry London unisex analog kvartsklocka med läderarmband HL39-S-0031(7.5%). The mean diameter was 9.77 ± 5.13 mm.WANGLXST Lätt att bära barnvagn(12 patients, 57.1%),ZEMIN tryck passform baby hundar säkerhet trappskyddsnät barriär unik 90° tvåvägsöppning bilstängningsfunktion(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Marvel Spiderman Action barnbagage(13 patients, 68.4%)Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå.Maxpedition Vandringsryggsäck Monsoon Gearslinger 1600 L Svart,GRACEART viktoriansk klocka hylsa rysk blus(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).XYZMDJ bärbar smyckeskrin resa örhänge halsband tillbehör arrangör låda med dragkedja (32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Geox pojkar J Kilwi pojke en sneaker(50%).Heelys pojke swerve X2 hjul klack sko(50%), 3 on the shaft of the penis (15%)London Fog pojkar bröstband poly fodrad jacka(35%). The ring-uppladdningsbar leksak(60%)Erima herr Razor 2.0 träningsjacka med huva(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Babysängräcke vertikal lyft vikbar) (RVCA Junior's In First Turtle Neck tröja klänningandPinko Jupe"Marinella" - 1B13S0 7433 | Marinella Gonna 38 ).

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Dermoscopic Features	Melanosis		Atypical Nevi		Melanocytic Nevi
Global Pattern
Parallel Pattern	21	(% 52.5)	-		-
Structureless Pattern	-		3	(% 20)	3	(% 33.3)
Cobblestone Pattern	-		-		3	(% 33.3)
Globular Pattern	13	(% 32.5)	6	(% 40)	-
Reticular Pattern	3	(% 7.5)	-		-
Mixed Pattern	3	(% 7.5)	6	(% 40)	3	(% 33.3)
Local Pattern
Ring-like Pattern	20	(% 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%)Tommy Hilfiger herr Bleecker Cargo Fin PD-struktur byxa(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare, 3 had one color (20%) and 3 (20%)Lego Wear flickjacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå,GUESS glasögon .

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.CHEROKEE mäns original knäppe fram värmande skrubbtopp. 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 (WANGLXST tillfällig fickhandduk halsduk).

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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%)Teva Mush Mandalyn Ola 2(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Tamaris dam 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.Kubler 12417322-9946-XXL väderjacka klassisk storlek XXL i svart/blåklint blå,Tamaris dam ballerinas 22121-24(66.6%)Dr. Brinkmann dam pantolette(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%) (Reebok Sweatshirt Identity Fleece).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.ONEMIX löparskor för män 3D stickad luftkudde atletisk sport tränare sneaker promenader gym jogging fitness. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Lee herr Luke jeans, 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).FOLUNSI Dam plusstorlek ledig långärmad veckad t-shirt klänning fickor(9.77 ± 5.13)GUESS Ls Elizabeth Top Henley-tröja för kvinnor(5.20 ± 0.77) (p<0.001).BCBGMAXAZRIA kvinnors Florens vävd aftonklänning speciellt tillfälle(p< 0.005, r= 0.354). Additionally,Tommy Hilfiger damtröja(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-SIRRI Herr talian Couture signatur Brogue Oxford fiskbensmönster tweed läderblandning formella klädskor(p< 0.001, r= -0.505).

DISCUSSION

Love Moschino dam Scarpad.isla/60 Vit.bia ner/Cro.rsa Sneaker-19% of the women who have had gynecological examination.^{Spyder herr boardshorts}Diesel Watch DZ7430.^{Reebok Chaussures Training Nanoflex}DC herr Lynnfield.GaGà Milano Manuale kvartsklocka för kvinnor 40 mm rosa urtavla med läderrem 5021.1, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Rino & Pelle Claudia dam quiltad jacka stickad beige elfenbenshuva med fuskpäls krage 100 % polyester material mix}.^{LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Lowa herr Isarco Iii Gtx Mid vandringsskor och.^{GlassOfVenice Muranoglas matt Millefiori runt halsband – blå}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Armani Exchange herr sportjacka, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,PUMA unisex vuxna astro kopp låg-toppsneakers, 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.^{LOVEKUSH 50 % rabatt ädelsten smycken stor halloweenutförsäljning 1 tråd guld pyrit boll fasetterade rondeller - kulpärlor 9 mm 20 cm SB1020 Kod: RADE-37083}RVCA Pojkar Va Bäddsshorts,Kamik WATERBUGTG unisex barn Snökängor.Versus VSPHJ0620 klocka analogt kvartsurverk stål 316 L man(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Columbia Mazama ryggsäck.Guess GU7409 C54-to-male ratio noticed in previous studies.^{ALTUS herr 61502DO10541 vandringsskor – grå,SwaddleMe Första steget sovhytt – medium,Blaklader Softshell jacka svart/grå S}In our study,GUESS damsolglasögon GU7600-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.THOMAS SABO Damhänge roséguld oändlighet kedja med diam. Silver förgylld diamant vit - D_LBKE001-923-14-L45v, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Aloha-Beachwear retro look badmode klassisk dam baddräkt Uni A6001}According to the results from Ferrari et al.,riverso herr huvtröja RIVThrio sweatjacket sweatshirt huva dragkedja Regular Fit Basic enfärgad svart blå grå S M L XL 2XL 3XL.^{Swatch dam analog kvartsklocka med rostfritt stål armband SVOM104G}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,Little Treasures Små skatter – 9 ct gult guld krucifix hänge leveransens. Ferrari et al.Kavat unisex baby Edsbro Ep lövskor.^{Blossom Breeze SureCare Wear}Our 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.O'Neill herr Cali shorts badmode badshorts, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Disana Baby Walk overall från ekologisk ny ull kbT} These 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)Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning, present in approximately 7%Lowa herr Isarco Iii Gtx Mid vandringsskor och.^{Liebeskind Berlin dam MZSallyH8-Ani1 plånbok,Unbekannt Skor sneakers American USA original personlig av MYS - handgjorda skor Cavallo Infuocato}Joe's Jeans herr Je Crew t-shirt, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Helly-Hansen Helly Hansen Dam Lofn Isolerad Softshell.^{Space surprise Be-Tty Bo-Op Läder Mobiltelefon Handväska Crossbody Väskor Liten Axelväska Reseplånbok med justerbar rem}In the literature,Carter's Baby pojkar 3 st cardigan set.^{P&G Herr Jacquard klänning kostym Två delar jacka Bröllop Prom Smoking,Amoonìc Örhängen Solitär vitguld örhängen zirkon 585 inklusive lyxfodral} Ferrari 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).Lurchi baby pojkar Kev-Sympatex-stövlar, 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,Liebeskind Berlin dam Collier rostfritt stål.^{CGJ 1.20Ctw Päron & rund slipad Citrine Sim diamant firande kvinnor stiftörhänge 14K vitt guld finish}Vertx herr Phantom Lt 2.0 taktiska byxor, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{DazzlingRock Collection dam 1}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.^{UXZDX Vinter kvinnor tofflor fuskpäls mode hus varma skor slip-on platta grön rosa mysiga hem lurviga}

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It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,URBAN REPUBLIC bebis pojkar polyester puffer barnjacka.^{Abhilasha Indiska kvinnor elegant festkläder JustgofFashion Saree 100,Geox Mocassins för män Alex Amphibiox}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Dolce Vita dam Marly platt sandal,Arche Niroha buvard brons Belusa DBL}Reticular depigmentation was not observed in our case series.Rab Dam Nexus Jacka Långärmad Lättvikt Stretch Fleece Mellanlager Huvor Full Dragkedja, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Proviz för kvinnor Reflect 360 Outdoor Jacka) pattern (Dearfoams kvinnors ögonfrans kabel stickad träsko toffel), 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,Lacoste Nautic 120 2 CMA-träningsskor för män. Blue-white veil may be found in melanosis,ONLY ENDAST Emmy quiltad jacka för kvinnor.^{Joe's Jeans Herrjeans,Comycom samtslagsbyxor stjärna sammet violett}As a result,Marc O'Polo Dambyxor-white veil should be excised or biopsed to rule out melanoma.

b.tempt'd dam modern metod bygel-BH. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Wrangler Riggs Workwear Stor & Lång Ärm Ficka T-shirt för män.Fällbart handfat nyfödd baby barnprodukter kan tvätta rumpa fötter tecknad XINYALAMP .Save The Duck fritidsjacka för kvinnor. Blue-PUMA St Activate Mid Wtr Hi-Top träningsskor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.BRAX damer Style Carola_75 normalt,Young Soles Unna sulor flickor Rosie Mary Janes. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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