https://mauiderm.com/wp-content/uploads/2013/10/Marghoob-Pic.jpg 478 335 Maui Derm News https://mauiderm.com/wp-content/uploads/2013/04/MD-WebLogo.jpg Maui Derm News2014-07-02 02:27:082014-07-02 02:27:08Pigmented Lesions: Clinical Pearls
Ashfaq Marghoob, MD
Dr Marghoob provides us with his clinical pearls on pigmented lesions….
- The larger the congenital nevus the greater is the risk for developing melanoma.
- The risk of a melanoma developing in a small congenital nevi is small enough that prophylactic excision is not required.
- Presence of many nevi and dysplastic nevi are strong risk factors for melanoma.
- Analytical, Differential and comparative recognition are all helpful in differentiating nevi from melanoma.
- Total body photography assists clinicians in finding concerning lesions.
- Dermoscopy assists clinicians in deciding which lesions require a biopsy.
- Unna’s theory of nevogenesis is not supported by recent cross sectional and longitudinal studies.
- Nevi with a peripheral globular pattern or a starburst pattern are growing nevi (not yet in senescence).
- Most halo nevi have a globular pattern.
- Patient driven healthcare with the use of Apps is likely to help in finding early melanomas.