Melanocytic nevi in children: A clinical study

<b>BACKGROUND: </b> Melanocytic nevi show different presentations in children which have not much studied in India. <b> PURPOSES: </b> To document the incidence and pattern of melanocytic nevi in children. <b> METHODS: </b> A total of 4,256 paediatric cases attend...

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Main Authors: Senthilkumar M (Author), Thappa Devinder (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2006-01-01T00:00:00Z.
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Summary:<b>BACKGROUND: </b> Melanocytic nevi show different presentations in children which have not much studied in India. <b> PURPOSES: </b> To document the incidence and pattern of melanocytic nevi in children. <b> METHODS: </b> A total of 4,256 paediatric cases attending the dermatology OPD, JIPMER during the study period from August 2002 to August 2004 were screened for melanocytic nevi. <b> FINDINGS: </b> Out of these, 41 (0.96&#x0025;) cases were found to have melanocytic nevi. The mean age of these cases was 1.4 years (range of 3 days to 14 years). Fourteen (34.1&#x0025;) of them were males and 27 (65.9&#x0025;) were females with male to female ratio of 1:1.9. Majority of these cases (32 cases, 78&#x0025;) were in the age group of 0-1 year. Thirty-seven (90.2&#x0025;) cases had single lesion and 4 (9.8&#x0025;) cases had multiple lesions. The size of the nevi varied from 1.5 cm to 20 cm in 40 (97.6&#x0025;) cases and more than 20 cm in 1 (2.4&#x0025;) case. The most common site of involvement was the back (32 cases, 78&#x0025;) followed by head and neck (6 cases, 14.6&#x0025;). Out of the total of 41 cases, 30 (73.2&#x0025;) were Mongolian spots, 8 (19.5&#x0025;) were congenital melanocytic nevi, one case (2.4&#x0025;) each had giant congenital melanocytic nevus, nevus spilus and nevus of Ota. Four cases had other associated cutaneous disorders. These included ashleaf macules in 2 cases, epidermolysis bullosa simplex in 1 case and a solitary case had both caf&#x0026;#953;-au-lait macule and mixed hemangioma. The systemic associations included seizures (suspected neurocutaneous melanosis) in a solitary case of congenital melanocytic nevi. <b> CONCLUSIONS: </b> The spectrum of melanocytic nevi seen in children in this study partially differs from this of abroad studies. <b> LIMITATION: </b> Unicentre hospital-based study which cannot be generalized.
Item Description:0019-5154