Asymptomatic neurocutaneous melanocytosis in patients with large congenital melanocytic nevi: A study of cases from an Internet-based registry

Recent retrospective studies using magnetic resonance imaging (MRI) to screen for neurocutaneous melanocytosis (NCM) among neurologically asymptomatic children with large congenital melanocytic nevi (LCMN) report high prevalence (23-30%) of asymptomatic NCM. We sought to determine prevalence of asym...

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Veröffentlicht in:Journal of the American Academy of Dermatology 2005-12, Vol.53 (6), p.959-965
Hauptverfasser: Agero, Anna Liza C., Benvenuto-Andrade, Cristiane, Dusza, Stephen W., Halpern, Allan C., Marghoob, Ashfaq A.
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container_issue 6
container_start_page 959
container_title Journal of the American Academy of Dermatology
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creator Agero, Anna Liza C.
Benvenuto-Andrade, Cristiane
Dusza, Stephen W.
Halpern, Allan C.
Marghoob, Ashfaq A.
description Recent retrospective studies using magnetic resonance imaging (MRI) to screen for neurocutaneous melanocytosis (NCM) among neurologically asymptomatic children with large congenital melanocytic nevi (LCMN) report high prevalence (23-30%) of asymptomatic NCM. We sought to determine prevalence of asymptomatic NCM, and current application of MRI as a screening tool. Patients with LCMN from an Internet-based registry answered a questionnaire regarding NCM status. Of 379 patients with LCMN, 26 reportedly had NCM, with 17 reporting neurologic symptoms. Of 186 patients undergoing MRI, 9 reported abnormal findings without neurologic symptoms (4.8%); 80% had LCMN on the posterior axis, whereas 55% had more than 20 satellite nevi. Study data rely on the registry members' self-reported findings and are limited by lack of independent data verification. Asymptomatic NCM (determined by MRI) may not be common, with much lower prevalence (4.8%) than previously reported. MRI is widely used for screening patients at risk for NCM, such as patients with LCMN involving the posterior axis and greater than 20 satellite nevi.
doi_str_mv 10.1016/j.jaad.2005.07.046
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Biological and medical sciences
Child
Child, Preschool
Dermatology
Female
Humans
Infant
Infant, Newborn
Internet
Male
Medical sciences
Melanosis - complications
Melanosis - diagnosis
Middle Aged
Neurocutaneous Syndromes - complications
Neurocutaneous Syndromes - diagnosis
Nevus, Pigmented - complications
Pigmentary diseases of the skin
Registries
Skin Neoplasms - complications
Tumors of the skin and soft tissue. Premalignant lesions
title Asymptomatic neurocutaneous melanocytosis in patients with large congenital melanocytic nevi: A study of cases from an Internet-based registry
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