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KMID : 0363220210590040310
Korean Journal of Dermatology
2021 Volume.59 No. 4 p.310 ~ p.313
Regression of Congenital Melanocytic Nevus with Halo Phenomenon Induced by Serial Excision
Song Chang-Hwa

Jung You-Jin
Ko Young-Wook
Kim Jeong-Eun
Ko Joo-Yeon
Ro Young-Suck
Abstract
Congenital melanocytic nevus is a hamartoma derived from the neural crest that is present at birth. Regression following surgical excision with an apparent halo phenomenon through suture lines has never been reported. A nine-year-old boy presented with a solitary symmetric, oval-shaped, blackish pigmented patch on his right forearm.
He reported increasing size of the lesion with no other subjective symptoms. Histological examination of the first excisional biopsy revealed congenital melanocytic nevus, and serial excisions were planned. Interestingly, at the second visit at 18 months after the first biopsy, the size of the congenital melanocytic nevus was reduced with a peripheral whitish halo. Linear regression through suture lines and a peripheral halo was observed after the second and third serial excisions. The mechanism of the halo phenomenon remains elusive but is suggested theorized to be caused by destruction of melanocytes by immune responses of autoantibodies or cytotoxic T cells.
KEYWORD
Congenital melanocytic nevus, Halo nevus, Halo phenomenon, Nevus, Regression
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