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KMID : 0363220070450101074
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Korean Journal of Dermatology
2007 Volume.45 No. 10 p.1074 ~ p.1077
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A Case of Neurotized Nevus with Sclerotic Fibroma-like Change
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Jeon Hyae-Joo
Kim Seong-Hyun
Hahm Jeong-Hee
Whang Kyu-Kwang
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Abstract
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We report a case of neurotized nevus with a sclerotic fibroma-like change in a 60-year-old female patient, who presented with a brown colored pedunculated nodule on the upper quadrant of the abdomen. The skin biopsy revealed a well-circumscribed, non-encapsulated nodule in the reticular dermis, which consisted of hypocellular hyalinized collagen bundles separated by clefts mixed with nevus cells. Nevus cells are small with a spindle appearance and contain Meissner corpuscle-like structures called nevic corpuscles. We suggest that a sclerotic fibroma-like change is an evolutionary end-point of a pre-existing lesion. This is supported further by the fact that neuroid change in the intradermal nevus represents the end stage of maturation of melanocytes of the nevi.
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KEYWORD
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Intradermal nevus, Neurotized nevus, Sclerotic fibroma
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