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Dermatoscopic and clinical features of congenital or congenital-type nail matrix nevi: a multicenter prospective cohort study by the International Dermoscopy Society

Background - Congenital nail matrix nevi (NMN) are difficult to diagnose because they feature clinical characteristics suggestive of adult subungual melanoma. Nail matrix biopsy is difficult to perform, especially in children. - Objective - To describe the initial clinical and dermatoscopic features...

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Main Authors: Pham, Félix (Author) , Boespflug, Amélie (Author) , Duru, Gérard (Author) , Phan, Alice (Author) , Poulalhon, Nicolas (Author) , Weiler, Laura (Author) , Tanaka, Masaru (Author) , Lallas, Aimilios (Author) , Ogata, Dai (Author) , Davaine, Anne Céline (Author) , Bahadoran, Philippe (Author) , Balguerie, Xavier (Author) , Kamińska-Winciorek, Grażyna (Author) , Tromme, Isabelle (Author) , Correia, Osvaldo (Author) , Kim, Moon-Bum (Author) , Marghoob, Ashfaq A. (Author) , Martin, Linda (Author) , Pascale Guitera, Pascale (Author) , Meziane, Mariame (Author) , Miquel, Juliette (Author) , Mun, Je-Ho (Author) , Argenziano, Giuseppe (Author) , Bessis, Didier (Author) , Bourke, Johnny (Author) , Mijuskovic, Zeljko (Author) , Chiaverini, Christine (Author) , Corven-Benoit, Cloé (Author) , Droitcourt, Catherine (Author) , Skowron, François (Author) , Marque, Myriam (Author) , Zalaudek, Iris (Author) , Rosendahl, Cliff (Author) , Moreno-Ramirez, David (Author) , Vabres, Pierre (Author) , Hänßle, Holger (Author) , Malvehy, Josep (Author) , Puig, Susana (Author) , Robert, Caroline (Author) , Schopf, Thomas R. (Author) , Scope, Alon (Author) , Dalle, Stéphane (Author) , Thomas, Luc (Author)
Format: Article (Journal)
Language:English
Published: 19 August 2022
In: Journal of the American Academy of Dermatology
Year: 2022, Volume: 87, Issue: 3, Pages: 551-558
ISSN:1097-6787
DOI:10.1016/j.jaad.2022.01.028
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jaad.2022.01.028
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S019096222200158X
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Author Notes:Félix Pham, MD, Amélie Boespflug, MD, PhD, Gérard Duru, PhD, Alice Phan, MD, Nicolas Poulalhon, MD, Laura Weiler, MD, Masaru Tanaka, MD, PhD, Aimilios Lallas, MD, PhD, Dai Ogata, MD, PhD, Anne Céline Davaine, MD, Philippe Bahadoran, MD, PhD, Xavier Balguerie, MD, Grażyna Kamińska-Winciorek, MD, Isabelle Tromme, MD, PhD, Osvaldo Correia, MD, PhD, Moon-Bum Kim, MD, PhD, Ashfaq A. Marghoob, MD, Linda Martin, MD, Pascale Guitera, MD, Mariame Meziane, MD, Juliette Miquel, MD, Je-Ho Mun, MD, PhD, Giuseppe Argenziano, MD, PhD, Didier Bessis, MD, PhD, Johnny Bourke, MD, Zeljko Mijuskovic, MD, PhD, Christine Chiaverini, MD, Cloé Corven-Benoit, MD, Catherine Droitcourt, MD, PhD, François Skowron, MD, Myriam Marque, MD, Iris Zalaudek, MD, Cliff Rosendahl, MD, David Moreno-Ramirez, PhD, Pierre Vabres, MD, PhD, Holger Haenssle, MD, Josep Malvehy, MD, PhD, Susana Puig, MD, PhD, Caroline Robert, MD, PhD, Thomas R. Schopf, MD, PhD, Alon Scope, MD, Stéphane Dalle, MD, PhD, and Luc Thomas, MD, PhD

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245 1 0 |a Dermatoscopic and clinical features of congenital or congenital-type nail matrix nevi  |b a multicenter prospective cohort study by the International Dermoscopy Society  |c Félix Pham, MD, Amélie Boespflug, MD, PhD, Gérard Duru, PhD, Alice Phan, MD, Nicolas Poulalhon, MD, Laura Weiler, MD, Masaru Tanaka, MD, PhD, Aimilios Lallas, MD, PhD, Dai Ogata, MD, PhD, Anne Céline Davaine, MD, Philippe Bahadoran, MD, PhD, Xavier Balguerie, MD, Grażyna Kamińska-Winciorek, MD, Isabelle Tromme, MD, PhD, Osvaldo Correia, MD, PhD, Moon-Bum Kim, MD, PhD, Ashfaq A. Marghoob, MD, Linda Martin, MD, Pascale Guitera, MD, Mariame Meziane, MD, Juliette Miquel, MD, Je-Ho Mun, MD, PhD, Giuseppe Argenziano, MD, PhD, Didier Bessis, MD, PhD, Johnny Bourke, MD, Zeljko Mijuskovic, MD, PhD, Christine Chiaverini, MD, Cloé Corven-Benoit, MD, Catherine Droitcourt, MD, PhD, François Skowron, MD, Myriam Marque, MD, Iris Zalaudek, MD, Cliff Rosendahl, MD, David Moreno-Ramirez, PhD, Pierre Vabres, MD, PhD, Holger Haenssle, MD, Josep Malvehy, MD, PhD, Susana Puig, MD, PhD, Caroline Robert, MD, PhD, Thomas R. Schopf, MD, PhD, Alon Scope, MD, Stéphane Dalle, MD, PhD, and Luc Thomas, MD, PhD 
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520 |a Background - Congenital nail matrix nevi (NMN) are difficult to diagnose because they feature clinical characteristics suggestive of adult subungual melanoma. Nail matrix biopsy is difficult to perform, especially in children. - Objective - To describe the initial clinical and dermatoscopic features of NMN appearing at birth (congenital) or after birth but before the age of 5 years (congenital-type). - Methods - We conducted a prospective, international, and consecutive data collection in 102 hospitals or private medical offices across 30 countries from 2009 to 2019. - Results - There were 69 congenital and 161 congenital-type NMNs. Congenital and congenital-type NMN predominantly displayed an irregular pattern of longitudinal microlines (n = 146, 64%), reminiscent of subungual melanoma in adults. The distal fibrillar (“brush-like”) pattern, present in 63 patients (27.8%), was more frequently encountered in congenital NMN than in congenital-type NMN (P = .012). Moreover, congenital NMN more frequently displayed a periungual pigmentation (P = .029) and Hutchinson’s sign (P = .027) than did congenital-type NMN. - Limitations - Lack of systematic biopsy-proven diagnosis and heterogeneity of clinical and dermatoscopic photographs. - Conclusion - Congenital and congenital-type NMN showed worrisome clinical and dermatoscopic features similar to those observed in adulthood subungual melanoma. The distal fibrillar (“brush-like”) pattern is a suggestive feature of congenital and congenital-type NMN. 
650 4 |a children 
650 4 |a congenital 
650 4 |a congenital nail matrix nevus 
650 4 |a dermatoscopy 
650 4 |a longitudinal melanonychia 
650 4 |a melanonychia striata 
650 4 |a nevus of the nail unit 
650 4 |a pediatric 
650 4 |a subungual melanoma 
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700 1 |a Duru, Gérard  |e VerfasserIn  |4 aut 
700 1 |a Phan, Alice  |e VerfasserIn  |4 aut 
700 1 |a Poulalhon, Nicolas  |e VerfasserIn  |4 aut 
700 1 |a Weiler, Laura  |e VerfasserIn  |4 aut 
700 1 |a Tanaka, Masaru  |e VerfasserIn  |4 aut 
700 1 |a Lallas, Aimilios  |e VerfasserIn  |4 aut 
700 1 |a Ogata, Dai  |e VerfasserIn  |4 aut 
700 1 |a Davaine, Anne Céline  |e VerfasserIn  |4 aut 
700 1 |a Bahadoran, Philippe  |e VerfasserIn  |4 aut 
700 1 |a Balguerie, Xavier  |e VerfasserIn  |4 aut 
700 1 |a Kamińska-Winciorek, Grażyna  |e VerfasserIn  |4 aut 
700 1 |a Tromme, Isabelle  |e VerfasserIn  |4 aut 
700 1 |a Correia, Osvaldo  |e VerfasserIn  |4 aut 
700 1 |a Kim, Moon-Bum  |e VerfasserIn  |4 aut 
700 1 |a Marghoob, Ashfaq A.  |e VerfasserIn  |4 aut 
700 1 |a Martin, Linda  |e VerfasserIn  |4 aut 
700 1 |a Pascale Guitera, Pascale  |e VerfasserIn  |4 aut 
700 1 |a Meziane, Mariame  |e VerfasserIn  |4 aut 
700 1 |a Miquel, Juliette  |e VerfasserIn  |4 aut 
700 1 |a Mun, Je-Ho  |e VerfasserIn  |4 aut 
700 1 |a Argenziano, Giuseppe  |e VerfasserIn  |4 aut 
700 1 |a Bessis, Didier  |e VerfasserIn  |4 aut 
700 1 |a Bourke, Johnny  |e VerfasserIn  |4 aut 
700 1 |a Mijuskovic, Zeljko  |e VerfasserIn  |4 aut 
700 1 |a Chiaverini, Christine  |e VerfasserIn  |4 aut 
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700 1 |a  Droitcourt, Catherine  |e VerfasserIn  |4 aut 
700 1 |a  Skowron, François  |e VerfasserIn  |4 aut 
700 1 |a Marque, Myriam  |e VerfasserIn  |4 aut 
700 1 |a Zalaudek, Iris  |e VerfasserIn  |4 aut 
700 1 |a Rosendahl, Cliff  |e VerfasserIn  |4 aut 
700 1 |a  Moreno-Ramirez, David  |e VerfasserIn  |4 aut 
700 1 |a Vabres, Pierre  |e VerfasserIn  |4 aut 
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700 1 |a Malvehy, Josep  |e VerfasserIn  |4 aut 
700 1 |a Puig, Susana  |e VerfasserIn  |4 aut 
700 1 |a Robert, Caroline  |e VerfasserIn  |4 aut 
700 1 |a Schopf, Thomas R.  |e VerfasserIn  |4 aut 
700 1 |a Scope, Alon  |e VerfasserIn  |4 aut 
700 1 |a Dalle, Stéphane  |e VerfasserIn  |4 aut 
700 1 |a Thomas, Luc  |e VerfasserIn  |4 aut 
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