NEVI IN CHILDREN: CLINICO-DERMOSCOPIC CONCEPTS ASSOCIATED WITH LOCATION.

Abstract

Nevi developed in children are one of the topical issues of pediatric dermatology. The constant change in size and shape often worries parents, and unnecessary removal of the nevi is planned. The development of accompanying scars and sometimes recurring nevi presents a new problem for parents and dermatologists.

Aim: The aim of the study was to study acquired moles in children to reveal the predominant clinical and dermoscopic characteristics, their general and location-related features.

Material and methods: Clinical-dermoscopic manifestations of 107 acquired pigmented nevi of 43 patients were studied. Patients age ranged from 3 to 12 years. Dermoscopic features were assessed using a digital dermoscope. The data were statistically evaluated in the SPSS system using the chi-square test, a significance level of 0.05.

Results: The 24 scalp nevi of 11 patients included the following forms: 14 (58.3%) solid brown, 7 (29.2%) Eclipse nevus, 2 (8.3%) solid pink and one (4.2%) Cockade nevus. Distribution of the dermoscopic characteristics was as follows: globular pattern 12(50%); homogenous-reticular 7(29,1%); globular- homogenous-reticular 1(4,2%); reticular-globular 4(16,7%). 35 nevi of 14 patients detected in the face area included the following forms: 30(85.7%) solid brown, 3(8.6%) solid pink and 2(5.7%) Spitz nevus. Distribution of the dermoscopic characteristics was as follows: globular pattern 33 (94,3%%), homogenous and dotted vascular pattern 2 (5,7%). 48 nevi of 18 patients detected on the body (trunk and limbs) included the following forms: 45 (93.8%) solid brown nevus and 3 (6.2%) Spitz nevus. Distribution of the dermoscopic characteristics was as follows: globular pattern 28 (58,3%) , reticular 11(22,9%), reticular-globular 7(14,6%), homogenous and dotted vascular pattern 2 (4,2%).

Conclusion: The most common type of nevus in children solid brown, was found to be universal for all locations, and presented dermoscopically with the predominant characteristic of globular structures. Clinically different nevi in children were presented with pronounced symmetry and were mostly characterized by two-component dermoscopic features. Spitz nevi presented as single moles on the face and upper extremities, and Eclipse nevi as multiple pigmented nevi on the scalp.