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Top Accessed Article: Management of Pigmented Melanocytic Nevi FREE

Mary C. Martini, MD
[+] Author Affiliations

Author Affiliation: Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.


Arch Dermatol. 2011;147(7):841. doi:10.1001/archdermatol.2011.148.
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Zalaudek I, Docimo G, Argenziano G. Using dermoscopic criteria and patient-related factors for the management of pigmented melanocytic nevi. Arch Dermatol. 2009;145(7):816-826.

In this article, Zalaudek and colleagues present a global approach to the examination of benign and malignant pigmented nevi using dermoscopy. They review more than 118 publications and summarize the findings, with attention to dermoscopic criteria and patient-related factors. They provide dermoscopic images of typical benign nevi and illustrate how the appearance of these benign nevi changes with differing Fitzpatrick skin types. They used this method throughout their study, describing dermoscopic patterns and their variations with age, UV exposure, anatomical site, and pregnancy. Similarly, they also review the dermoscopic features of melanoma, with attention to eccentric hyperpigmentation, and compare these images with blue nevi and metastatic melanoma. They continually stress the importance of a thorough skin examination, including assessment of the type and distribution of nevi. With this extensive review, Zalaudek and colleagues offer a more comprehensive approach to dermoscopy whereby the interpretation of these images not only is based on pattern recognition but also is dependent on a wide range of patient-specific factors.

From August 2009 through August 2010, this article was viewed 1842 times on the Archives of Dermatology Web site.

ARTICLE INFORMATION

Contact Dr Martini at the Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611-2997 (mmartini@nmff.org).

Financial Disclosure: Dr Martini is on the advisory board of Dove Unilever, is an investigator for Melasciences, and owns stock in Pfizer, Merck, and Johnson & Johnson.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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