Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease

Patients treated with haematopoietic stem cell transplantation are at increased risk of cutaneous malignant neoplasms. There are no reports on the characteristics of melanocytic lesions in patients with chronic graft versus host disease and the value of recognizing these difficult lesions in high-ri...

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Main Authors: Alicia Barreiro-Capurro, José Manuel Mascaró, Beatriz Alejo Galindo, Priscila Giavedoni, Cristina Carrera, Llucia Alos, Susana Puig, Josep Malvehy
Format: Article
Language:English
Published: Medical Journals Sweden 2019-05-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access: https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3194
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author Alicia Barreiro-Capurro
José Manuel Mascaró
Beatriz Alejo Galindo
Priscila Giavedoni
Cristina Carrera
Llucia Alos
Susana Puig
Josep Malvehy
author_facet Alicia Barreiro-Capurro
José Manuel Mascaró
Beatriz Alejo Galindo
Priscila Giavedoni
Cristina Carrera
Llucia Alos
Susana Puig
Josep Malvehy
author_sort Alicia Barreiro-Capurro
collection DOAJ
description Patients treated with haematopoietic stem cell transplantation are at increased risk of cutaneous malignant neoplasms. There are no reports on the characteristics of melanocytic lesions in patients with chronic graft versus host disease and the value of recognizing these difficult lesions in high-risk patients. The objective of this study is to describe the clinical and dermoscopic characteristics of melanocytic lesions in patients with chronic graft versus host disease in order to understand their morphology. A prospective cross-sectional study was performed; 10 melanocytic lesions on the trunk and extremities were selected from each patient. A statistically significant association was found between regression and high total dermoscopic score and 7-point checklist score. Lesions were excised or included in short-term digital follow-up. Melanocytic lesions in patients with chronic graft versus host disease developing after allogeneic-haematopoietic stem cell transplantation exhibit marked structural and colour changes similar to melanoma. This is believed to result from the inflammatory process associated with graft versus host disease.
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spelling doaj.art-8872fa213bbc4b9bab265ac7a4db159c2022-12-21T17:18:00ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572019-05-0199977778210.2340/00015555-31945461Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host DiseaseAlicia Barreiro-Capurro0José Manuel MascaróBeatriz Alejo GalindoPriscila GiavedoniCristina CarreraLlucia AlosSusana PuigJosep Malvehy Department of Dermatology, Hospital Clínic de Barcelona, IDIBAPS, ES-08036 Barcelona, Spain. Patients treated with haematopoietic stem cell transplantation are at increased risk of cutaneous malignant neoplasms. There are no reports on the characteristics of melanocytic lesions in patients with chronic graft versus host disease and the value of recognizing these difficult lesions in high-risk patients. The objective of this study is to describe the clinical and dermoscopic characteristics of melanocytic lesions in patients with chronic graft versus host disease in order to understand their morphology. A prospective cross-sectional study was performed; 10 melanocytic lesions on the trunk and extremities were selected from each patient. A statistically significant association was found between regression and high total dermoscopic score and 7-point checklist score. Lesions were excised or included in short-term digital follow-up. Melanocytic lesions in patients with chronic graft versus host disease developing after allogeneic-haematopoietic stem cell transplantation exhibit marked structural and colour changes similar to melanoma. This is believed to result from the inflammatory process associated with graft versus host disease. https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3194 chronic graft versus host disease naevi dermoscopy digital follow-up melanoma
spellingShingle Alicia Barreiro-Capurro
José Manuel Mascaró
Beatriz Alejo Galindo
Priscila Giavedoni
Cristina Carrera
Llucia Alos
Susana Puig
Josep Malvehy
Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease
Acta Dermato-Venereologica
chronic graft versus host disease
naevi
dermoscopy
digital follow-up
melanoma
title Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease
title_full Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease
title_fullStr Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease
title_full_unstemmed Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease
title_short Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease
title_sort clinical and dermoscopic evaluation of melanocytic lesions in patients with chronic graft versus host disease
topic chronic graft versus host disease
naevi
dermoscopy
digital follow-up
melanoma
url https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3194
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