Dermoscopy is a suitable method for the observation of the pregnancy‐related changes in melanocytic nevi

Aktürk, A.; Bilen, Nilgün; Bayramgürler, Dilek; Demirsoy, EO; Erdoğan, Selvet; Kiran, Ravi P.

doi:10.1111/j.1468-3083.2007.02204.x

Cited by 43 publications

(31 citation statements)

References 12 publications

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“…It has been shown that these changes linearly increase with the length of pregnancy and are most evident during the third trimester and at the time of delivery. [56][57][58][59] These changes also reverse themselves approximately 3 to 6 months after delivery, and so reexamination of nevi at that time is usually recommended. Since any change during a 3-month interval must be considered suspect, the physiologic changes of nevi should be taken into account when performing shortterm digital follow-up.…”

Section: Commentmentioning

confidence: 99%

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Zalaudek

Docimo

Argenziano³

2009

Arch Dermatol

101

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Objective: To review recent dermoscopy studies that provide new insights into the evolution of nevi and their patterns of pigmentation as they contribute to the diagnosis of nevi and the management of pigmented melanocytic nevi. Data Sources: Data for this article were identified by searching the English and German literature by Medline and Journals@Ovid search for the period 1950 to January 2009. Study Selection: The following relevant terms were used: dermoscopy, dermatoscopy, epiluminescence microscopy (ELM), surface microscopy, digital dermoscopy, digital dermatoscopy, digital epiluminescence microscopy, digital surface microscopy, melanocytic skin lesion, nevi, and pigmented skin lesions. There were no exclusion criteria. Data Synthesis: The dermoscopic diagnosis of nevi relies on the following 4 criteria (each of which is characterized by 4 variables): (1) color (black, brown, gray, and blue); (2) pattern (globular, reticular, starburst, and homogeneous blue pattern); (3) pigment distribution (multifocal, central, eccentric, and uniform); and (4) special sites (face, acral areas, nail, and mucosa). In addition, the following 6 factors related to the patient might influence the pattern of pigmentation of the individual nevi: age, skin type, history of melanoma, UV exposure, pregnancy, and growth dynamics. Conclusions: The 4×4×6 “rule” may help clinicians remember the basic dermoscopic criteria of nevi and the patient-related factors influencing their patterns. Dermoscopy is a useful technique for diagnosing melanocytic nevi, but the clinician should take additional factors into consideration to optimize the management of cases of pigmented lesions.

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Section: Commentmentioning

confidence: 99%

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Zalaudek

Docimo

Argenziano³

2009

Arch Dermatol

101

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“…Another dermoscopic analysis was performed on 82 nevi of pregnant women from locations all over the body in the first and third trimesters. 13 Pattern analysis of these lesions revealed no significant differences between visits, but there was new dot development in 6 of the nevi, 4 of which were located on the front of the body. There was also a statistically significant increase in the total dermoscopy score between the first and third trimesters.…”

Section: Nevi During Pregnancymentioning

confidence: 97%

“…In 1 study, 97 nevi measured from 56 pregnant women showed a statistically significant increased diameter from the first to the third trimesters. 13 Of the 20 nevi that grew, 10 were located on the front of the body, 6 on the face and neck, 3 on the legs, and 1 on the back. The degree of enlargement was most significant for lesions on the front of the body.…”

Section: Nevi During Pregnancymentioning

confidence: 99%

Nevi and pregnancy

Bieber

Martires

Driscoll

et al. 2016

Journal of the American Academy of Dermatology

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“…They concluded that a changing pigmented lesion in the pregnant woman should be approached in the same way as in any patient. Most dermoscopic changes are due to the physiological extension of the skin during pregnancy [7,8]. Only pregnant women with dysplastic nevus syndrome require closer monitoring; their nevi tend to have a higher rate of clinical change during pregnancy [9].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Pitfall: Pigmented Lesion of the Nipple – Correlation between Dermoscopy, Reflectance Confocal Microscopy and Histopathology

Kolm¹,

Kamarashev²,

Kerl³

et al. 2010

Dermatology

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We present an unusual case of a nevus of the nipple changing during pregnancy which caused a diagnostic pitfall. Nevi on the nipple and areola are infrequent, and diagnostic criteria for clinical, dermoscopy or reflectance confocal microscopy examination for nevi in this ‘special location’ are still missing. We comment on the literature on dermoscopic findings in mammary lesions and their management during pregnancy, as well as the challenging histopathology of nevi along the milk line. Finally, we focus on two main limitations of reflectance confocal microscopy: the misinterpretation of dendritic cells and the limitation of the imaging depth.

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Dermoscopy is a suitable method for the observation of the pregnancy‐related changes in melanocytic nevi

Cited by 43 publications

References 12 publications

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Using Dermoscopic Criteria and Patient-Related Factors for the Management of Pigmented Melanocytic Nevi

Nevi and pregnancy

Diagnostic Pitfall: Pigmented Lesion of the Nipple – Correlation between Dermoscopy, Reflectance Confocal Microscopy and Histopathology

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