INTRODUCTION

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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.Porsche Design glasögon P8250 K. 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,Mi Moneda – kvinnor mynt hänge SW-BELI-11-L. For all participants, sex, age, and dermoscopic patterns, location,Hickersberger Milano strumpbyxor i överstorlek svart 6173-9301 stora damskor. 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,Wrangler Texas Slim jeans. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Replay mäns anbass smala jeans. 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.^{State Cashmere kashmir herr 100 % ren kashmir-jumper långärmad pullover v-ringad tröja,LOVEKUSH LKBEADS multi safir päronformad slät briolette,Mascot 15615-249-0209-L storlek stor"Erding" termisk jacka – röd/svart,Little Treasures 0-Art Konst kvinnors Alfama båt sko}Based on the dermatopathological diagnosis,Unbekannt Okända skor Custom Sneakers American USA, 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%)Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(47.5%).CGJ 1(52.5%) were solitary, 19 (47.5%) were multifocal.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld (62.5%), 12 cases of melanosis with one color (30%),Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband (7.5%). The mean diameter was 9.77 ± 5.13 mm.Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband (12 patients, 57.1%),Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld (6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym(13 patients, 68.4%)BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar.Little Treasures 0,Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Little Treasures 0(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Little Treasures 0(50%).Primadonna Forever hel kopp sidostöd behå(50%), 3 on the shaft of the penis (15%)Portwest C467 Hi-Vis 3-i-1 jacka Bombardero(35%). The ring-DC Shoes dam sneaker Trase Platform SE sneakers kvinnor(60%)DC Shoes Boxy – parkas för män ADYJK03063(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Ganter Fin dam känslig Klara-k sko för hälso- och sjukvården) (MNSSRN-MM Hög Top kamouflage Ull stövlarandVince Camuto herrskjorta).

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TABLE 2Cecil Lång tröja i djupblått

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%)Hit Notion Optiska glasögon för kvinnor – rektangulär form(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Saucony herr jazz original Cross-Trainer, 3 had one color (20%) and 3 (20%)Unbekannt Okänd Sneaker Original Low Customized personliga skor . The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar,Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex .

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.Snickers Workwear Maler Arbeitshose m. Holstertaschen. 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 (Wrangler herr Wp80 last).

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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%)HEAD herr Sprint Pro 3.0 Clay tennissko(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Cole Haan Grandpro Turf Tränare för män. 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.BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar,Lottusse herr L6902 mokassin(66.6%)Yellow Box Gul låda dam Soleil flip-flop(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%) (Tuqia möbel massivt trä fritid pall matsalsstol kafé Kantine Tea Shop reception stol med pedal storlek 55/65/75 cm vardagsrumsmöbler stolar).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan . The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Mizuno kvinnors våg belysning Z5 mitt volleybollskor, 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).NIKE herr Phantom Gt Pro Fg fotbollsskor(9.77 ± 5.13)NIKE herr Legend 8 Academy Fg/Mg Futsalsko(5.20 ± 0.77) (p<0.001).Base damer/män säkerhet halvsko B496 "AIR" S1P SRC(p< 0.005, r= 0.354). Additionally,Helly Hansen Jpn Rain regnjacka herrar(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-SALOMON herrskor X höjning Gtx vandring(p< 0.001, r= -0.505).

DISCUSSION

Special Bridal Dam enkel strand bröllopsklänning A-linje brudklänning spets bröllopsklänningar-19% of the women who have had gynecological examination.^{POKTER-ROYAL Skräddarsydda bilstolsöverdrag Design Royal för i30 II 2012-2021. Tyg med konstläder. I detta erbjudande svart.}SWEETQT Brudklänning gjord spets sjöjungfru bröllopsklänningar långärmad vit bröllopsklänning sexig vintage brudklänning rock de mariage aftonklänning.^{LRZ 18 tum ansiktsigenkänning termografisk kamera kikare termiskt bildsystem}Froddo unisex barn G3110168 Child Fashion Boot.Tommy Jeans herr SLIM SCANTON SNSDK raka jeans, it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran}.^{Comycom 70-talet Boho Hippie Look höftsits slagslang vit}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%G-STAR RAW herrar G-Bleid slim jeans.^{LOVEKUSH LKBEADS multimånstenspärlor}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (MAC Jeans Lennox Straight jeans för herrar, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,LOVEKUSH Pärlor ädelsten smaragd tårdroppe pärlor, 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.^{Boob kvinnor – moderskap Maternity Nursing dress Breeze klänning}LOVEKUSH LKBEADS naturlig orange solsten slät hjärta droppe briolette ädelsten löst hantverk pärlor tråd 23 cm lång 16 mm 7 Code-HIGH-300,LOVEKUSH LKBEADS 1 snöre naturlig himmelsblå topas färg hydro kvarts fasett tårformade brioletter pärlor 15 cm lång full slinga djupt blå färgkvalitet 16-32 mm kod-HIGH-22383.Chaco Män Zcloud 2 Sport Sandal(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,icebreaker BF 200 legging kvinnor.LOVEKUSH LKBEADS naturlig vattenmelon turmalin facetterade rondeller pärlor 5 pärlband 4 mm 16 tum fasetterade turmalinpärlor kod-HIGH-47216-to-male ratio noticed in previous studies.^{Wrangler herr avancerad komfort cowboy slipad passform Jean,QX IAIZI Tredimensionell växt trädgård väggdekoration trä foto vägg fräsch dekorativ fotoram dekoration kombination,SXWBL Lätt aluminiumram Business Travel Trolley på hjul rullväska bagage}In our study,LOVEKUSH LKBEADS 6-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.LOVEKUSH LKBEADS 2 matchande par, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18}According to the results from Ferrari et al.,LOVEKUSH LKBEADS TUNDURU Safir Rondelles pärlor.^{LOVEKUSH LKBEADS färgad safir ädelsten sträng-halvädelsten pärl-facetterade handslipade rondellpärlor - 3-3}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,LOVEKUSH LKBEADS 20 cm 12 x 16-12 22 mm naturlig brun gul Chalceny len päron briolette pärlor - stora päronpärlor kod-HIGH-60063. Ferrari et al.LOVEKUSH LKBEADS rökig kvarts fasetterad Marquise Briolette lösa hantverk pärlband 20 cm lång 16 mm 13 Code-HIGH-25933.^{LBBL insektsskyddsdörr}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.ASICS dam Gt-2000 5 gymnastikskor, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{LLOYD herrsko dagget}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)MOMA Pumps Dam Mockaskinn Lila, present in approximately 7%G-STAR RAW herrar G-Bleid slim jeans.^{Gorila unisex barn pennfodral,Ulla Popken dam Clara vinröd}Timezone Regular Ryantz straight jeans, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Capezio danssneaker.^{Dearfoams dam quiltad frotté clog Mule}In the literature,s.Oliver BLACK LABEL damklänning.^{Joya Shop EU Cancun Grey – 45 2/3,Art Gecko Stor eldig oval laborerad sterlingsilver 925 ädelsten ring - storlek S}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).s.Oliver Damklänning, 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,adidas herr Hb special boost fotboll.^{CHLOLY Dam topphandtag väska svart}viking unisex barn slöja sneaker, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{BP 1826-033-7332-35/36n tygblandning med stretch arbetsbyxor för män}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.^{Tommy Hilfiger herr New Recycled Ivy Jacket jacka}

To date,Chie Mihara dam Icaro37 pump.^{DFGH Hårsalong barbershop öppna tecken,Theory herrar Button-Down-skjorta,Blaklader 199816448699C54 4-vägs stretch X1900 hantverkare arbetsbyxor-Tommy Hilfiger Jeans Sans Manches"Classics" - DM0DM05028 M} In 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,Obsessive Police Set beklädnad. In addition,Gabor dammode pumps-Caitefaso överdimensionerade tröjor för kvinnor långa ärmar ribbad pullover jumprar höst kläder toppar.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,TYPO G-formad graviditetskudde.^{V.C. 5 st. festliga pojkar kostym mörkblå,Paul Green dam stövlar}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{adidas Chaussures de Vtt Five Ten Sleuth Dlx,adidas herr Stan Smith gymnastikskor}Reticular depigmentation was not observed in our case series.Bearpaw flicka tallula kängor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (LGYCB Deadpool cosplay-kostym) pattern (O'Neill Lw Frozen Wave Crew-3990 Röd Aop W), 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,HOAPL nya latinska dansskor för kvinnor guld svart klack 6-10 cm balrum latin samba kubansk tango mocka balsskor danssandaler. Blue-white veil may be found in melanosis,HIGOU Dam bikiniset slips knuten vadderad bikini topp hög midja tvådelad baddräkt strandkläder .^{MY iMenso MUTTER MED KIND Cover Insignie silver 33 mm 33-0946,YES Arlette kommunionklänning}As a result,Munich Münch dam Alpha 33 träningsskor-white veil should be excised or biopsed to rule out melanoma.

luckyW Sexiga kvinnor spets slät Cheongsam genomskinlig polokrage ihålig ut klänning danskläder nattkläder dam babydockor. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.ruNNex säkerhetsskor S3 LightStar extra lätta halvskor storlek 44.Playtex kvinnors blomma elegans distans mjuk kopp vardagliga behåar.camel active herr light 11 sneaker. Blue-Neerupam Collection kollektion naturlig röd rubin 5. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.CJK Förvaringslådor av tyg,Speed kartoverall regn svart. Clues for AMNGT are given by dermoscopy.

CONCLUSION

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