1. Clinical and Dermoscopic Evaluation of Melanocytic Lesions in Patients with Chronic Graft Versus Host Disease.
- Author
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Barreiro-Capurro A, Mascaró JM, Galindo BA, Giavedoni P, Carrera C, Alos L, Puig S, and Malvehy J
- Subjects
- Adult, Chronic Disease, Cross-Sectional Studies, Diagnosis, Differential, Female, Graft vs Host Disease immunology, Graft vs Host Disease surgery, Humans, Male, Melanocytes immunology, Melanoma immunology, Melanoma pathology, Middle Aged, Nevus, Pigmented immunology, Predictive Value of Tests, Prospective Studies, Skin immunology, Skin Neoplasms immunology, Dermoscopy, Graft vs Host Disease pathology, Hematopoietic Stem Cell Transplantation adverse effects, Melanocytes pathology, Nevus, Pigmented pathology, Skin pathology, Skin Neoplasms pathology
- Abstract
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.
- Published
- 2019
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