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Halo nevus

From Wikipedia, the free encyclopedia
Medical condition
Halo nevus
Other namesLeukoderma acquisitum centrifugum of sutton
SpecialtyDermatology

Halo nevus is amole that is surrounded by apale ring or 'halo'.[1] It is generally noticed in the summer, when surrounding skin tans, and usually occurs on the chest, but can be anywhere.[1] There may be one or, more typically, several.[2] Onset is usually in teenagers and young adults.[1][3] It typically follows a pattern of appearing at first as a dark mole surrounded by a halo before the nevus fades and disappears.[1] A single halo-nevus-like lesion appearing in an older adult may be a melanoma.[1]

It occurs in around 1% of the general population, and males and females are affected equally.[1]

Presentation

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Halo nevi are also known as Sutton's nevi, or leukoderma acquisitum centrifugum.[2] Halo nevi are named such because they are a mole (nevus) that is surrounded by an area of depigmentation that resembles a halo.

Halo nevi are associated withvitiligo. Sometimes the pale (hypopigmented) areas will spontaneously regress, and pigment returns.

Causes

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The formation of a halo surrounding a nevi is believed to occur when certainwhite blood cells calledCD8+ T lymphocytes destroy the pigment-producing cells of the skin (melanocytes).[4] The cause for the attack is unknown.[5]

Diagnosis

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Treatment

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Photograph of a halo nevus on a face

As halo nevi are only of cosmetic significance, no treatment is required,[6] and patients will beasymptomatic. Although halo nevi are harmless, it is important to monitor the lesion on a regular basis.[7] Watch out for any changes in appearance of existing or new halo nevi. If there is any change in appearance or is associated with pain, itch, and infection, a doctor should be consulted immediately to exclude the possibility of melanoma.

Epidemiology

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Halo nevi are estimated to be present in approximately 1% of the general population and are found to be more prevalent in people withvitiligo,malignant melanoma,[5] orTurner syndrome.[8] All races and sexes are equally susceptible to this disease, although a familial tendency has been reported. The average age of onset is in a person's teenage years.

See also

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References

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  1. ^abcdefDE, Elder; D, Massi; RA, Scolyer; R, Willemze (2018). "2. Melanocytic tumours: halo naevus".WHO Classification of Skin Tumours. Vol. 11 (4th ed.). Lyon (France): World Health Organization. pp. 91–92.ISBN 978-92-832-2440-2.
  2. ^abJames, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020)."30. Melanocytic nevi and neoplasms: halo nevus".Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Edinburgh: Elsevier. pp. 690–691.ISBN 978-0-323-54753-6.
  3. ^Johnstone, Ronald B. (2017)."32. Lentigines, nevi and melanomas".Weedon's Skin Pathology Essentials (2nd ed.). Elsevier. p. 536.ISBN 978-0-7020-6830-0.
  4. ^Mundinger, Gerhard S. (January 16, 2014). "Halo Phenomenon".New England Journal of Medicine.370 (3): 262.doi:10.1056/NEJMicm1306230.PMID 24428471.
  5. ^ab"Halo Nevus - skinsite.com". RetrievedAugust 4, 2008.
  6. ^"CareFair.com - Halo Nevis". RetrievedAugust 4, 2008.
  7. ^"DermaTalk - Halo Nevus".
  8. ^Halo Nevis ateMedicine

External links

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Classification
External resources


Melanoma
Nevus/
melanocytic nevus
Arteries,arterioles
andcapillaries
Inflammation
Arteriosclerosis
Peripheral artery disease
Aneurysm /dissection /
pseudoaneurysm
Vascular malformation
Vascular nevus
Veins
Inflammation
Venous thrombosis /
Thrombophlebitis
Varicose veins
Other
Arteries or veins
Blood pressure
Hypertension
Hypotension
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