Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women

Background: Melanocytic nevi can vary in size and number in pregnant women, and the differential diagnosis with melanoma may be challenging. Objectives: To describe changes in total body photography of pregnant women and dermoscopy aspects of their nevi. Methods: A prospective cohort study wi...

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Autores principales:	Gabriela M. Martins-Costa, Renato Bakos
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2019
Materias:	dermoscopy melanocytic nevi pregnancy digital monitoring total body photography Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/fdd216539b534a50be1594dc9a666a2d
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spelling	oai:doaj.org-article:fdd216539b534a50be1594dc9a666a2d2021-11-17T08:29:32ZTotal Body Photography and Sequential Digital Dermoscopy in Pregnant Women10.5826/dpc.0902a082160-9381https://doaj.org/article/fdd216539b534a50be1594dc9a666a2d2019-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/615https://doaj.org/toc/2160-9381 Background: Melanocytic nevi can vary in size and number in pregnant women, and the differential diagnosis with melanoma may be challenging. Objectives: To describe changes in total body photography of pregnant women and dermoscopy aspects of their nevi. Methods: A prospective cohort study with 703 melanocytic nevi from 18 women was performed, comparing them in the first and third trimester of pregnancy. Images were analyzed between the 2 periods for changes in dermoscopic aspects. Results: Total body photography images indicated that 44% of patients had new lesions. Regarding the observed changes, there were symmetric or regular changes of the network (23% of cases), occurrence of new globules/dots (12.4%), new vascular structures (3.2%), new streaks (1.7%), and new structureless area (1.0%). Moreover, 55.0% of the nevi increased in size. Enlarging of the nevi was observed mostly on the abdomen (87.1%; P < 0.001) and showed more network changes (27.1%; P = 0.014) and formation of new globules and dots (16.0%; P < 0.001). Patients with a risk of developing melanoma presented more frequently enlarged nevi (45%; P = 0.019). The association between streak formation and skin type was significant (P = 0.012) and was more frequent in skin type II (2.7%), when compared with skin types III (1.3%) and IV (0%). Gabriela M. Martins-CostaRenato BakosMattioli1885articledermoscopymelanocytic nevipregnancydigital monitoringtotal body photographyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 2 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy melanocytic nevi pregnancy digital monitoring total body photography Dermatology RL1-803
spellingShingle	dermoscopy melanocytic nevi pregnancy digital monitoring total body photography Dermatology RL1-803 Gabriela M. Martins-Costa Renato Bakos Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women
description	Background: Melanocytic nevi can vary in size and number in pregnant women, and the differential diagnosis with melanoma may be challenging. Objectives: To describe changes in total body photography of pregnant women and dermoscopy aspects of their nevi. Methods: A prospective cohort study with 703 melanocytic nevi from 18 women was performed, comparing them in the first and third trimester of pregnancy. Images were analyzed between the 2 periods for changes in dermoscopic aspects. Results: Total body photography images indicated that 44% of patients had new lesions. Regarding the observed changes, there were symmetric or regular changes of the network (23% of cases), occurrence of new globules/dots (12.4%), new vascular structures (3.2%), new streaks (1.7%), and new structureless area (1.0%). Moreover, 55.0% of the nevi increased in size. Enlarging of the nevi was observed mostly on the abdomen (87.1%; P < 0.001) and showed more network changes (27.1%; P = 0.014) and formation of new globules and dots (16.0%; P < 0.001). Patients with a risk of developing melanoma presented more frequently enlarged nevi (45%; P = 0.019). The association between streak formation and skin type was significant (P = 0.012) and was more frequent in skin type II (2.7%), when compared with skin types III (1.3%) and IV (0%).
format	article
author	Gabriela M. Martins-Costa Renato Bakos
author_facet	Gabriela M. Martins-Costa Renato Bakos
author_sort	Gabriela M. Martins-Costa
title	Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women
title_short	Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women
title_full	Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women
title_fullStr	Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women
title_full_unstemmed	Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women
title_sort	total body photography and sequential digital dermoscopy in pregnant women
publisher	Mattioli1885
publishDate	2019
url	https://doaj.org/article/fdd216539b534a50be1594dc9a666a2d
work_keys_str_mv	AT gabrielammartinscosta totalbodyphotographyandsequentialdigitaldermoscopyinpregnantwomen AT renatobakos totalbodyphotographyandsequentialdigitaldermoscopyinpregnantwomen
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Total Body Photography and Sequential Digital Dermoscopy in Pregnant Women

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