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Journal of the American Academy of Dermatology
Volume 58, n° 3
pages 508-511 (mars 2008)
Doi : 10.1016/j.jaad.2006.05.076
Case Reports

Spontaneous involution of congenital melanocytic nevi of the scalp

Roland M. Strauss, MD, MRCP, DTM&H, Julia A. Newton Bishop, MD, FRCP
Department of Dermatology, St James’s University Hospital, Leeds, United Kingdom 

Reprint requests: Julia A. Newton Bishop, MD, FRCP, Consultant Dermatologist, Department of Dermatology, St James’s University Hospital, Beckett St, Leeds LS9 7TF, United Kingdom.

Large or giant congenital melanocytic nevi are rare. They are associated with a risk of melanoma, which is poorly quantified, and often represent a major cosmetic problem. Surgical intervention is the most common treatment, although dermabrasion or curettage in the first weeks of life is used in some centers. When these nevi occur in the scalp, the risk of melanoma has been reported to be lower. Here we describe a series of children in whom large congenital melanocytic nevi on the scalp appeared to spontaneously involute. Therefore, our findings indicate that these nevi also have a better prognosis cosmetically. It is suggested that the decision about surgical treatment should be deferred until the maximal improvement in appearance has occurred during the first 2 years of life.

The full text of this article is available in PDF format.

 Funding sources: None.
 Conflicts of interest: None declared.

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