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Arch Dermatol. 2009;145(11):1334-1336.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the Pediatric Dermatology Clinic at the Johns Hopkins Children's Center, we evaluate over 5000 children each year, and at least 40% of visits include a full skin examination for assessment of melanocytic nevi. Melanocytic nevi of the scalp constitute a significant subset of referrals, and queries regarding removal of these lesions are often associated with unfounded fear of their malignant potential among primary care providers, dermatologists, and parents.

Dermatologists frequently recommend that melanocytic nevi of the scalp be excised, resulting in unsightly football-shaped scars and permanent localized hair loss (Figure 1). Unfortunately, surgery begets surgery, and some patients are subjected to recurrent procedures because parents and pediatricians become involved in notifying dermatologists of new scalp nevi as they appear. Although for darkly pigmented nevi that either fulfill some of the ABCDE criteria for melanoma (asymmetry, border irregularity, color variegation, diameter 6 mm, and/or evolution) or are difficult . . . [Full Text of this Article]

Methods

The Eclipse Nevus

The Cockade Nevus

Comment

AUTHOR INFORMATION


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