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Text
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<a href="http://doi.org/10.1016/j.jaad.2011.11.937" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jaad.2011.11.937</a>
Pages
582–586
Issue
4
Volume
67
Dublin Core
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Title
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The natural history of halo nevi: a retrospective case series.
Publisher
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Journal of the American Academy of Dermatology
Date
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2012
2012-10
Subject
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*Skin Pigmentation; Adolescence; Adolescent; Adult; Child; Databases; Disease Progression; Disease Remission; Factual/*statistics & numerical data; Female; Follow-Up Studies; Halo – Pathology; Halo – Surgery; Halo/*pathology/*surgery; Human; Humans; Male; Middle Age; Middle Aged; Nevus; Preschool; Prospective Studies; Questionnaires; Remission; Remission Induction; Resource Databases; Retrospective Design; Retrospective Studies; Skin Pigmentation; Spontaneous; Surveys and Questionnaires; Young Adult
Creator
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Aouthmany Mouhammad; Weinstein Mara; Zirwas Matthew J; Brodell Robert T
Description
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BACKGROUND: The time period between onset of depigmentation around the halo nevus (HN) to complete resolution of the nevus and halo has not been well studied. OBJECTIVE: We sought to better understand the natural history of the HN. METHODS: A retrospective chart review of patients with a clinical diagnosis of HN selected from a private practice database (1994-2010) was performed. In all, 52 patients with 80 HN were identified. The current stage of the HN was determined by a follow-up questionnaire and physical examination of 36 patients with 56 HN. RESULTS: Seven HN were excised. Of the remaining 49 HN, 51% (25) demonstrated no change in the halo or nevus after an average of 4.2 years; 14.3% (7) demonstrated partial nevus regression with persistence of the halo after an average of 6.7 years; 4.1% (2) demonstrated complete involution of the nevus with persistent halo depigmentation after an average of 7.7 years; 8.2% (4) demonstrated complete nevus involution with some repigmentation of the halo after an average of 11.8 years; 22.4% (11) demonstrated complete resolution of the nevus with complete repigmentation of the halo after an average of 7.8 years. LIMITATION: Some subjects were lost to follow-up. The time of initial HN onset was dependent on patient recall. CONCLUSION: These results demonstrate that HN typically persist for a decade or longer. A subgroup may progress through stages of involution with a return to normal-appearing skin, but even these lesions persisted for an average of 7.8 years. Education about the prolonged natural history of HN may reassure patients and avoid unnecessary excision.
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<a href="http://doi.org/10.1016/j.jaad.2011.11.937" target="_blank" rel="noreferrer noopener">10.1016/j.jaad.2011.11.937</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Skin Pigmentation
2012
Adolescence
Adolescent
Adult
Aouthmany Mouhammad
Brodell Robert T
Child
Databases
Disease Progression
Disease Remission
Factual/*statistics & numerical data
Female
Follow-Up Studies
Halo – Pathology
Halo – Surgery
Halo/*pathology/*surgery
Human
Humans
Journal of the American Academy of Dermatology
Male
Middle Age
Middle Aged
Nevus
Preschool
Prospective Studies
Questionnaires
Remission
Remission Induction
Resource Databases
Retrospective Design
Retrospective Studies
Skin Pigmentation
Spontaneous
Surveys and Questionnaires
Weinstein Mara
Young Adult
Zirwas Matthew J