Patchy Dermal Melanocytosis: Differential Diagnosis and Management.

J Cosmet Dermatol

Department of Laser and Aesthetic Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Published: November 2024

AI Article Synopsis

  • Nevus of Ito and Mongolian spots are forms of patchy dermal melanocytosis that can look similar, making diagnosis tricky for doctors.
  • The review highlights differences in their epidemiology, clinical features, and treatment options, noting that Mongolian spots usually fade with age while nevus of Ito can persist and turn malignant.
  • Innovative treatments, such as lower-energy lasers, are becoming more effective, especially for children, indicating a promising shift in managing these skin conditions.

Article Abstract

Background: Nevus of Ito and Mongolian spots are distinct clinical presentations of patchy dermal melanocytosis, characterized by similar dermatological manifestations that can pose diagnostic difficulties for clinicians.

Aim: This review aims to consolidate current understanding and research advancements on these conditions to facilitate clinical diagnosis, differential diagnosis, and management.

Methods: A comprehensive search of databases including PubMed and Google Scholar was conducted, along with an analysis of pertinent literature retrieved from reference lists spanning nearly four decades.

Results: Epidemiological, clinical, and pathological profiles exhibit nuanced differences between the two conditions, with unique expressions under electron microscopy and the regression possibility. It is noteworthy that most Mongolian spots naturally fade with advancing age, in contrast to nevus of Ito, which persist and may potentially evolve into malignant lesions. While picosecond laser treatment has shown greater efficacy than nanosecond lasers, the lower-energy approach holds particular promise in pediatric cases. The therapeutic landscape for patchy dermal melanocytosis is evolving, shifting from selective photothermal action to photomechanical or subcellular photothermal modalities.

Conclusion: This review underscores the importance of meticulous clinical assessment and the potential of innovative therapeutic approaches in managing these conditions.

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Source
http://dx.doi.org/10.1111/jocd.16607DOI Listing

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Patchy Dermal Melanocytosis: Differential Diagnosis and Management.

J Cosmet Dermatol

November 2024

Department of Laser and Aesthetic Medicine, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Article Synopsis
  • Nevus of Ito and Mongolian spots are forms of patchy dermal melanocytosis that can look similar, making diagnosis tricky for doctors.
  • The review highlights differences in their epidemiology, clinical features, and treatment options, noting that Mongolian spots usually fade with age while nevus of Ito can persist and turn malignant.
  • Innovative treatments, such as lower-energy lasers, are becoming more effective, especially for children, indicating a promising shift in managing these skin conditions.
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