A Rápida Evolução Clínica De Um Nevo De Spitz: Acompanhamento De Três Anos Em Criança

Abstract

Objective: To report the clinical evolution and handling of a Spitz nevus, from its initial flat feature to becoming an irregular, nodular, reddish lesion.Case description: Female child, phototype II, with a small congenital nevus on the left lower limb and other sustained small nevi. The patient went through annual clinical and dermoscopic evaluations between the ages of three and seven, period during which the nevi located on the left thigh grew rapidly. The clinical hypothesis was Spitz nevus, with indication of surgical removal with a safety margin and anatomopathological study. Considering patient’s age and clinical/histological aspects, the diagnosis of Spitz nevus was confirmed. Comments: Initial globular pattern and size under 5 mm upon dermoscopy allowed clinical follow-up. However, onset of hyperchromia and rapid growing of the lesion, along with aesthetic concerns, possibility of trauma in the region, and risk of malignancy at puberty guided the decision of total resection and follow-up for recurrence.

Pityriasis rosea‐like cutaneous eruption as a possible dermatological manifestation after Oxford‐AstraZeneca vaccine: Case report and brief literature review

“…Dermoscopy has become an essential diagnostic tool in many diagnostic conditions in dermatology, such as melanocytic nevus lesions 32 however, in relation to dermoscopy in inflammatory skin lesions, knowledge is limited and there are few studies on the diagnostic technique of PR. Some authors investigated the dermoscopic features in PR lesions and the most common finding was collarette scale, which is also clearly visible to the naked eye.…”

Hallazgos clínicos, dermatoscópicos y microscópicos claves en el diagnóstico y manejo del nevo de Spitz

“…Se estima que el NS está presente en menos del 1% de todos los nevos melanocíticos infantiles (3,8). Rara vez se han descrito NS en adultos y ancianos, lo cual sugiere que hay regresión de las lesiones con el envejecimiento (5,9). En la actualidad, no se ha determinado una predilección por sexos.…”

“…En la actualidad, no se ha determinado una predilección por sexos. Sin embargo, se ha observado un ligero predominio por el sexo femenino (3:1) entre los 15-30 años (2,5).…”

“…El leve predominio por el sexo femenino entre los 15-30 años se ha asociado a un posible efecto hormonal (2,5,9).…”

“…Aparece con mayor frecuencia en la población pediátrica, y suele localizarse en miembros inferiores, cabeza y cuello (1)(2)(3)(4). Fue descrito por primera vez en 1910 por Darier y Civatte, para posteriormente ser caracterizado por Sophie Spitz en 1948, quien lo describió como un "melanoma juvenil" que presenta características clínicopatológicas similares al melanoma, pero de comportamiento benigno (5,6).…”