Longitudinal melanonychia in childhood: a clinical and histopathological review of Korean patients

Background Longitudinal melanonychia is not frequently observed in children, and few studies exist on longitudinal melanonychia in paediatric patients, especially in Asian populations. Objectives We aimed to evaluate the clinical and histological findings of longitudinal melanonychia in Korean paedi...

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Veröffentlicht in:EJD. European journal of dermatology 2017-05, Vol.27 (3), p.275-280
Hauptverfasser: Lee, Min Kyung, Seo, Suk Bae, Jung, Ji Yun, Shin, Yo Sup, Cho, Eun Byul, Park, Eun Joo, Kim, Kwang Ho, Kim, Kwang Joong
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container_end_page 280
container_issue 3
container_start_page 275
container_title EJD. European journal of dermatology
container_volume 27
creator Lee, Min Kyung
Seo, Suk Bae
Jung, Ji Yun
Shin, Yo Sup
Cho, Eun Byul
Park, Eun Joo
Kim, Kwang Ho
Kim, Kwang Joong
description Background Longitudinal melanonychia is not frequently observed in children, and few studies exist on longitudinal melanonychia in paediatric patients, especially in Asian populations. Objectives We aimed to evaluate the clinical and histological findings of longitudinal melanonychia in Korean paediatric patients. Materials & Methods A retrospective review of paediatric patients (≤18 years old) with longitudinal melanonychia who underwent nail biopsy between January 2010 and October 2015 was performed. Results Of a total of 21 patients with longitudinal melanonychia, there were 10 cases of functional melanonychia, eight of lentigo, and three of nevus, as determined by microscopic examination. Mild nuclear atypia was found in four cases, as well as a low degree of pagetoid spread in one case. No patient was diagnosed with melanoma. During the follow-up period, no signs of malignancy were noticed and one patient with nail matrix nevus showed complete spontaneous regression of the pigmented band. Conclusion Clinical and histological features, generally accepted as signs suggestive of melanoma in adults, were more readily observed in benign conditions in children.
doi_str_mv 10.1684/ejd.2017.3021
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Objectives We aimed to evaluate the clinical and histological findings of longitudinal melanonychia in Korean paediatric patients. Materials &amp; Methods A retrospective review of paediatric patients (≤18 years old) with longitudinal melanonychia who underwent nail biopsy between January 2010 and October 2015 was performed. Results Of a total of 21 patients with longitudinal melanonychia, there were 10 cases of functional melanonychia, eight of lentigo, and three of nevus, as determined by microscopic examination. Mild nuclear atypia was found in four cases, as well as a low degree of pagetoid spread in one case. No patient was diagnosed with melanoma. During the follow-up period, no signs of malignancy were noticed and one patient with nail matrix nevus showed complete spontaneous regression of the pigmented band. Conclusion Clinical and histological features, generally accepted as signs suggestive of melanoma in adults, were more readily observed in benign conditions in children.</description><identifier>ISSN: 1167-1122</identifier><identifier>EISSN: 1952-4013</identifier><identifier>DOI: 10.1684/ejd.2017.3021</identifier><identifier>PMID: 28524064</identifier><language>eng</language><publisher>Paris: John Libbey Eurotext</publisher><subject>Adolescent ; Asian Continental Ancestry Group ; Biopsy ; Child ; Child, Preschool ; Clinical Report ; Dermatology ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Humans ; Infant ; Lentigo - pathology ; Male ; Medicine ; Medicine &amp; Public Health ; Melanoma - diagnosis ; Melanosis - pathology ; Nail Diseases - pathology ; Nevus, Pigmented - pathology ; Remission, Spontaneous ; Retrospective Studies ; Skin Neoplasms - diagnosis</subject><ispartof>EJD. 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European journal of dermatology</title><addtitle>Eur J Dermatol</addtitle><addtitle>Eur J Dermatol</addtitle><description>Background Longitudinal melanonychia is not frequently observed in children, and few studies exist on longitudinal melanonychia in paediatric patients, especially in Asian populations. Objectives We aimed to evaluate the clinical and histological findings of longitudinal melanonychia in Korean paediatric patients. Materials &amp; Methods A retrospective review of paediatric patients (≤18 years old) with longitudinal melanonychia who underwent nail biopsy between January 2010 and October 2015 was performed. Results Of a total of 21 patients with longitudinal melanonychia, there were 10 cases of functional melanonychia, eight of lentigo, and three of nevus, as determined by microscopic examination. Mild nuclear atypia was found in four cases, as well as a low degree of pagetoid spread in one case. No patient was diagnosed with melanoma. During the follow-up period, no signs of malignancy were noticed and one patient with nail matrix nevus showed complete spontaneous regression of the pigmented band. Conclusion Clinical and histological features, generally accepted as signs suggestive of melanoma in adults, were more readily observed in benign conditions in children.</description><subject>Adolescent</subject><subject>Asian Continental Ancestry Group</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Report</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Lentigo - pathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Melanoma - diagnosis</subject><subject>Melanosis - pathology</subject><subject>Nail Diseases - pathology</subject><subject>Nevus, Pigmented - pathology</subject><subject>Remission, Spontaneous</subject><subject>Retrospective Studies</subject><subject>Skin Neoplasms - diagnosis</subject><issn>1167-1122</issn><issn>1952-4013</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQhi0EoqUwsiKPLAnnjyYOG6r4EpVYYLYcx2ldpXaxE1D_PS4tbEx3uvfRK92D0CWBnBSC35hVk1MgZc6AkiM0JtWUZhwIO047KcqMEEpH6CzGFQCFiolTNKJiSjkUfIzquXcL2w-NdarDa9Mp591WL63C1uE0u2bpfXOLFdaddVYnSrkGL23s_Ub1S9_5xc81mE9rvrBv8YsPRjmcUmtcH8_RSau6aC4Oc4LeH-7fZk_Z_PXxeXY3zzRjtM_aViholFIc2hpMqdtKCFqYKdOsqOmUtFxwozUjuqkqriinuqxZVQLoQlSUTdD1vncT_MdgYi_XNmrTpZeMH6IkFYBgAgqS0GyP6uBjDKaVm2DXKmwlAbnTKpNWudMqd1oTf3WoHuq1af7oX48JyPdATJFbmCBXfghJafyn8RuquoN3</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Lee, Min Kyung</creator><creator>Seo, Suk Bae</creator><creator>Jung, Ji Yun</creator><creator>Shin, Yo Sup</creator><creator>Cho, Eun Byul</creator><creator>Park, Eun Joo</creator><creator>Kim, Kwang Ho</creator><creator>Kim, Kwang Joong</creator><general>John Libbey Eurotext</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Longitudinal melanonychia in childhood: a clinical and histopathological review of Korean patients</title><author>Lee, Min Kyung ; Seo, Suk Bae ; Jung, Ji Yun ; Shin, Yo Sup ; Cho, Eun Byul ; Park, Eun Joo ; Kim, Kwang Ho ; Kim, Kwang Joong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-ff8a0daaa40fb0e7cf98826e53c36b251f484ecc31cd994a242c7b39700c68923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Asian Continental Ancestry Group</topic><topic>Biopsy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Clinical Report</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Lentigo - pathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Melanoma - diagnosis</topic><topic>Melanosis - pathology</topic><topic>Nail Diseases - pathology</topic><topic>Nevus, Pigmented - pathology</topic><topic>Remission, Spontaneous</topic><topic>Retrospective Studies</topic><topic>Skin Neoplasms - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Min Kyung</creatorcontrib><creatorcontrib>Seo, Suk Bae</creatorcontrib><creatorcontrib>Jung, Ji Yun</creatorcontrib><creatorcontrib>Shin, Yo Sup</creatorcontrib><creatorcontrib>Cho, Eun Byul</creatorcontrib><creatorcontrib>Park, Eun Joo</creatorcontrib><creatorcontrib>Kim, Kwang Ho</creatorcontrib><creatorcontrib>Kim, Kwang Joong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>EJD. 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European journal of dermatology</jtitle><stitle>Eur J Dermatol</stitle><addtitle>Eur J Dermatol</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>27</volume><issue>3</issue><spage>275</spage><epage>280</epage><pages>275-280</pages><issn>1167-1122</issn><eissn>1952-4013</eissn><abstract>Background Longitudinal melanonychia is not frequently observed in children, and few studies exist on longitudinal melanonychia in paediatric patients, especially in Asian populations. Objectives We aimed to evaluate the clinical and histological findings of longitudinal melanonychia in Korean paediatric patients. Materials &amp; Methods A retrospective review of paediatric patients (≤18 years old) with longitudinal melanonychia who underwent nail biopsy between January 2010 and October 2015 was performed. Results Of a total of 21 patients with longitudinal melanonychia, there were 10 cases of functional melanonychia, eight of lentigo, and three of nevus, as determined by microscopic examination. Mild nuclear atypia was found in four cases, as well as a low degree of pagetoid spread in one case. No patient was diagnosed with melanoma. During the follow-up period, no signs of malignancy were noticed and one patient with nail matrix nevus showed complete spontaneous regression of the pigmented band. Conclusion Clinical and histological features, generally accepted as signs suggestive of melanoma in adults, were more readily observed in benign conditions in children.</abstract><cop>Paris</cop><pub>John Libbey Eurotext</pub><pmid>28524064</pmid><doi>10.1684/ejd.2017.3021</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Asian Continental Ancestry Group
Biopsy
Child
Child, Preschool
Clinical Report
Dermatology
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Infant
Lentigo - pathology
Male
Medicine
Medicine & Public Health
Melanoma - diagnosis
Melanosis - pathology
Nail Diseases - pathology
Nevus, Pigmented - pathology
Remission, Spontaneous
Retrospective Studies
Skin Neoplasms - diagnosis
title Longitudinal melanonychia in childhood: a clinical and histopathological review of Korean patients
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