Seasonal prevalence of digital epiluminescence microscopy patterns in acquired melanocytic nevi

Ignazio Stanganelli, Silvia Rafanelli, Lauro Bucchi

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Background: Available information on the effect of sun exposure on the biologic activity and morphologic characteristics of nevi is based on a few cross-sectional studies. According to these, nevi excised in summer show a higher mitotic count, a greater extent of the junctional component, and more frequent regression and inflammation. Objective: Our goals were to obtain data on the seasonal prevalence of digital epiluminescence microscopy (D- ELM) patterns in acquired melanocytic nevi (AMN) and to test the reliability of D-ELM as a substitute for histology in prospective studies of the morphologic response of AMN to sun exposure. Methods: Two independent series of AMN located on intermittently sun-exposed body sites and undergoing D-ELM in winter (n = 121) and in summer (n = 116) were compared for the prevalence of major ELM patterns. Results: Cases in the summer series showed a greater frequency of a broad and prominent pigment network; black dots with varied size, irregular distribution, and peripheral location; and peripheral depigmentation. Conclusion: On the basis of known histologic correlates of D- ELM features, our findings were consistent with studies of seasonal histologic changes in AMN. D-ELM may be a useful tool in the prospective evaluation of effects of sun exposure on AMN morphology.

Original languageEnglish
Pages (from-to)460-464
Number of pages5
JournalJournal of the American Academy of Dermatology
Volume34
Issue number3
DOIs
Publication statusPublished - Mar 1996

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Dermoscopy
Pigmented Nevus
Solar System
Nevus
Histology
Cross-Sectional Studies
Prospective Studies
Inflammation

ASJC Scopus subject areas

  • Dermatology

Cite this

Seasonal prevalence of digital epiluminescence microscopy patterns in acquired melanocytic nevi. / Stanganelli, Ignazio; Rafanelli, Silvia; Bucchi, Lauro.

In: Journal of the American Academy of Dermatology, Vol. 34, No. 3, 03.1996, p. 460-464.

Research output: Contribution to journalArticle

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abstract = "Background: Available information on the effect of sun exposure on the biologic activity and morphologic characteristics of nevi is based on a few cross-sectional studies. According to these, nevi excised in summer show a higher mitotic count, a greater extent of the junctional component, and more frequent regression and inflammation. Objective: Our goals were to obtain data on the seasonal prevalence of digital epiluminescence microscopy (D- ELM) patterns in acquired melanocytic nevi (AMN) and to test the reliability of D-ELM as a substitute for histology in prospective studies of the morphologic response of AMN to sun exposure. Methods: Two independent series of AMN located on intermittently sun-exposed body sites and undergoing D-ELM in winter (n = 121) and in summer (n = 116) were compared for the prevalence of major ELM patterns. Results: Cases in the summer series showed a greater frequency of a broad and prominent pigment network; black dots with varied size, irregular distribution, and peripheral location; and peripheral depigmentation. Conclusion: On the basis of known histologic correlates of D- ELM features, our findings were consistent with studies of seasonal histologic changes in AMN. D-ELM may be a useful tool in the prospective evaluation of effects of sun exposure on AMN morphology.",
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