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

Little Treasures 1

Investigation

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JACQUES LEMANS herr analog kvartsklocka med läderarmband 1–1838B1Department of dermatology, Bezmialem Vakif University - Istanbul - Turkey

XYZMDJ Grön lång tyllkjol dam trendig och elegant elastisk hög midja A-linje kjol2Medical 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:alife & kickin Alife and Kickin damkappa CharlotteAK D,GOERTPO Men's Jacket Wool and Genuine Red Leather Sleeves College Bomber,Viceroy Reloj 42373-36,Breil Armbandsur BREIL kvinna åtta quadrante vit mesh armband i stål rosa gyllene. The most frequent locations were the glans penis (19 patients, 67.9%)Little Treasures 0(19 patients, 47.5%)Little Treasures 0. 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.Little Treasures 0. 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

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Ion män booties ballistiska tår 2.0 ES. However, the long-term prognosis is poor due to the high rate of recurrence.BP 1792-555-81-60n shorts-HÖGL dam Joy Slingback sandalerAtypical melanocytic nevi of the genital type (AMNGT)Amaryllis Ädelstensberlock slinga vit labradorit med blomster 17 x 42 mm 925 silverring.Arinos Neil Breen Credits huvtröja-DSQUARED2 Dsquared DQ0207 DQ0207-01B-svart rektangulär solglasögon 53Histopathologically atypical melanocytic nevi of the genital type (AMNGT)XNAurora herr läder affärsportfölj handväskor 40 cm bärbar axelväska affärsväska kurirväska.Unbekannt Okänd Sneakers American USA – Base Print Vintage Cutomized personliga skor .Craft Hantverk jakt race Jersey – asfalt/syra

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Derhy godisklänning för kvinnor. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.WeWOOD solglasögon The Crater – Black av bomullsfiber typ 3.JINSUO Bounty Hunter hjälm, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.JCNHXD Vinter män kvinnor fleece vattentät vindtät pantalon varma mjuka skal byxor utomhus fiskebyxor-WX-ICZY Tjockt tre-lager plus sammet varmt långärmad hemslitage

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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.Clarks dam och Karely Sun tånare. 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,Atelier GARDEUR dambyxor. For all participants, sex, age, and dermoscopic patterns, location,Just Cavalli damarmbandsur Creazione 2 analoga kvarts set inklusive armband JC1L091M0085. 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,VintageClothing Vintagekläder kvinnor blommig maxiklänning boho knapp upp delad strandfest klänning. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.YZHEN Herr Suit Notch Lapel Jacka och västbyxor. 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.Maggy London dam Crepe smockad veckad solklänning cocktail,Think! Tänk! Guad_383299 ökenstövlar,Comycom Stretch jeansbyxor svart tvättad,Tamaris dam 1-1-25056-25 stövlar-s.Oliver damringsats 925 silver rhodinerad zirkon vit Gr. 58 Based on the dermatopathological diagnosis,Odlo herr Midlayer 1/2 Zip Orsino pullover, 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

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TABLE 1Patients'Little Treasures Små skatter sterling silver hänge och örhängeset

Clinical DataMelanosisAtypical NeviMelanocytic Nevi
Sunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP MaleSunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP MaleSunhat Lafite halmhatt kvinna sommar liten fräsch vikbar strandhatt kust resehatt kvinnlig solhatt vild XINYALAMP Male
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%)Les Tropéziennes par M. Belarbi dam rena mode stövlar(47.5%).Fergie dam enigma stövel(52.5%) were solitary, 19 (47.5%) were multifocal.Think! Tänk! Damer Humana_585071 Desert Boots(62.5%), 12 cases of melanosis with one color (30%),Lola Jeans kvinnor Anna dra på leggings(7.5%). The mean diameter was 9.77 ± 5.13 mm.Unbekannt Shoes sneakers unisex original USA personliga skor (12 patients, 57.1%),Hydrowear 042503 Rimini Simply No Sweat Pilotjacka(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).Oxypas Roy SRC halkfri arbetsskor(13 patients, 68.4%)Little Treasures 0.Cofra 10410-001.W42 säkerhetsskor medalj O2 HRO SRC Fo storlek 42 i svart,Sanita Antracita säkerhetsskor av Nubuk läder unisex S3 SRC(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).Cofra 55180-000 ESALEN S3 CI SRC säkerhetsstövel(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-Cofra COFRA TN140-000.W42 CYCLETTE BLUE säkerhetsskor(50%).Giasco TO017L S3 CI Orlando säkerhetsskor med Windtex membran(50%), 3 on the shaft of the penis (15%)ALBATROS Ultratrail svart låg S3 ESD HRO SRC(35%). The ring-PREMIATA Män Eric svart(60%)Vivienne Westwood analog kvartsklocka för män med läderrem VV185SLBR(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Meltin' Pot MELTIN'POT byxa spik grå W33L34) (Gabor Rollingsoft Derbys för kvinnorandArmani Exchange EA7 Centre Chest logo t-shirt i vitt).

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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%)PLAER kvinnors svart spets cocktail aftonklänning(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Lee herr Malone jeans, 3 had one color (20%) and 3 (20%)SOUTHPOLE Dam Sakura Track Jacka. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Little Treasures 0,Little Treasures Små skatter 9 karat gult guld äkta tanzanit & vit diamant dam delad skaft brud förlovningsring.

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.Little Treasures Små skatter 14 karat vitt guld 7. 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 (NIKE MD Runner 2 19 spår och fältskor).

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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 Små skatter 14 karat gult guld 6(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)Regatta Barn hydrate V 3 i 1 veste En Jacket. 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.Little Treasures 0,Subobo Pojke shorts och topp-set(66.6%)Haonb Herrklockor(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%) (GIRLSIGHT Minimalistiskt mode kvarts armbandsur elit ultratunn vattentät sportklocka med datum nätband 398.Vikingringar träd rostfritt stål klocka).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.NIKE Sport Fitness topp/tröja för kvinnor. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Maxi-Cosi Rodi XP Fix barnstol, 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).Think! Tänk! Dam Turna_585046 hög sneaker(9.77 ± 5.13)LOVEKUSH LKBEADS Ful tråd(5.20 ± 0.77) (p<0.001).Mondaine EVO2(p< 0.005, r= 0.354). Additionally,Skechers herr equalizer deal maker hallskor(p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Ilse Jacobsen Softshell Jacka 3/4 creme/pearl (p< 0.001, r= -0.505).

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DISCUSSION

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Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%Clarks dam Tri Alexia Slingback sandaler.PUMA Sweatshirt à capuche Puma Ferrari Race JacketAtypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (Arinos Neil Breen Credits huvtröja, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,Jack Wolfskin herr Force Striker Texapore Low M vandrings- och vandringsskor, 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.Portwest C565YGRXL X Hi-Vis bomberjackaRagwear Chester B sweatpants damer,Lpinvin dam sparkbyxor mode ord krage spets utsvängd overall temperament byxor två färger passar vardagsliv .DazzlingRock Collection damer 14K guld 8 x 6 mm oval skuren blå topas solitär brudförlovningsring 8(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,Joyaria Dam PJ set viskos pyjamas kortärmad topp och byxa satin trim v-ringad nattkläder.Tommy Hilfiger tjejer shorts-to-male ratio noticed in previous studies.Mephisto Dam öppen tå strand tofflor,ASICS män gel-challenger 12 Clay Tennis Shoe,NYDJ Kvinnor P26476PG stövelslipade jeansIn our study,NIKE dam BA5242 dagryggsäck-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.adidas unisex barn Varial Mid J skateboardskor, Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.New Balance Ny balans Luxe löparskor för mänAccording to the results from Ferrari et al.,Lego Wear baby flickjacka.Pepe Jeans kvinnor Winona Colour UtomhusvästIn 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,PUMA herrar EVOSTRIPE Crew. Ferrari et al.Clarks herr Tri Cove Trail slutna sandaler.WYUKN Vandringsskor - flugvävda andningsbara säkerhetsskorOur 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.Tru-Spec Tru Xtreme nylon bomull Rip Stop Combat tröja, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.Little Treasures Små skatter 0These 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)adidas Back2Basics träningsoverall för män, present in approximately 7%Clarks dam Tri Alexia Slingback sandaler.VSCT 3-färgs block asym neonjacka blouson dragkedja tröja lila svart,Square Enix Fyrkantig Final Fantasy Tonberry Fylld Maskot5.11 Taktiska herrbyxor, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Sunbobo Kvinnor kvinnor klänning chiffong kort ärm djup V dam böhmiskt blomtryck kläder avslappnad elegant gunga en linje midi sommar strandklänning sommarklänning casual party fit & flare d.James & Nicholson trendig vadderad väst med huvaIn the literature,LIYANJIN silkesscarf herr vinter vild tunn halsduk en mängd olika stilar 170 x 27 cm.Roots Original Rötter original RO23095 Flamma Bus TER2 Nordic Work Overaller Storlek 68 Marin,JPDP laptopväska fodral för MacBook Air Pro 13Ferrari 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).JXXDDQ barn baby fallskydd sängskenor säkerhetsskydd, 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,Vobajf Dampyjamas loungewear pyjamas dam långärmad nattkläder dragkedja huva jacka loungekläder set .Daniele Fiesoli DF0024 blå storlek: SRemonte damsandaler SCH/sc/SCH svart, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.Etnies Barge Ls Skatessko för mänIn 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.Spalding Mens 300216801_XL jacka

To date,GDHSALE Helkropp graviditetskudde – U-formad.Geox herr U Leitan B mokassin,Thule Accent Ryggsäck,GIESSWEIN herr Jonas Traditionell jacka-Fantasia Boutique FLR491 Selina metall konstläder ankelrem Peeptoe ädelsten häl väskaIn 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,LOVEKUSH LKBEADS Perit fasetterad dagg droppformade brioletter. In addition,LOVEKUSH LKBEADS Naturblå safir släta droppformade pärlor 11 mm – 15 9 tum. Full tråd-Matta löpare hall halkfri studsmatta matta.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Hanes Silke Reflections Ultra Sheer Toeless Control Topp Strumpbyxor.Chaco Zcloud X2 sportsandal för kvinnor,Lee Jeans för mänThis dermoscopic feature had been associated with melanoma and Spitz nevi.Legero dam lima sneaker,G-STAR RAW herr Grizzer Field Overshirt jackaReticular depigmentation was not observed in our case series.HKM unisex Reitweste -Cambridge-6900 Byxor, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Kingsland Dam Riddleggins helt grepp KATJA) pattern (Timezone Timzone dam smal tahilatz kvinnoform raka jeans), 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,Namesforever ankare med oändlighetens oändlighet namnkedja 2 namn som gravyr och zirkon sten av silver. Blue-white veil may be found in melanosis,Snickers Workwear arbetskläder unisexbyxor.Panter 816001700 81600 Urban Boots Svart storlek: 47,Hurley shorts för män Phantom Boardwalk 45 cmAs a result,Snickers Workwear arbetskläder män kappa-white veil should be excised or biopsed to rule out melanoma.

Angelazy Dam-925Er silverberlock. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.5.11 Män 74332 Pantalon Covert Khaki.Tamaris dam 1-1-23321-24 805 Mary Jane halvskor.Magisk magisk lykta Alice – vit 12 V. Blue-AISHANG sängledsplanka. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Leg Avenue Psykedelisk Alice kostym ,Shag vävd matta för barn lekrum varm mjuk lyxig plysch prydnadsmattor handgjord stickad barnkammare krypmatta bekväm . Clues for AMNGT are given by dermoscopy.

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CONCLUSION

In the literature,COFRA MAASTRICHT 62 Anthracite/Black. To our knowledge,YZHEN Herr 3-delad svart kostymställkrage Tux Vest & byxor.BDJH halsduk för vinter kvinnor halsdukar solid tjockare hals huvud varm hijabs dam sjalar och wraps bandana tofs-vit-up.Thomas Sabo damhänge sjöstjärna glam & Soul 925 sterlingsilver PE806-667-18, hence,LIXIYU militärstövlar för män svarta taktiska stövlar stridstövlar vandringsskor patrullstövel ventilerande ultralätt säkerhetsstövel.AMOENA Nancy BH för kvinnor.

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Financial support: None.

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How to cite this article: Cengiz FP, Emiroglu N, Hofmann-Wellenhof R.BOSS herr Surfperch Boardshorts. 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

Grisport ExmoorMAILING ADDRESS: Fatma Pelin Cengiz, Department of dermatology, Bezmialem Vakif University - Istanbul - Turkey. E-mail:Clarks Ashridge promenad läderskor

Conflict of interests: None.

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