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Sutton’s naevi as a pitfall for reflectance confocal microscopy: marked inflamed naevi could not be suitable for teleconfocal examination

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Reflectance confocal microscopy (RCM) has been widely demonstrated to improve the noninvasive diagnostic accuracy of melanocytic tumors1 . Some studies have focused on studying the use of teleconsultation of RCM… Click to show full abstract

Reflectance confocal microscopy (RCM) has been widely demonstrated to improve the noninvasive diagnostic accuracy of melanocytic tumors1 . Some studies have focused on studying the use of teleconsultation of RCM images with experts as a promising opportunity for those doctors who have little experience in the field2 . The clinical diagnosis of Sutton's naevus is usually straightforward3 : a melanocytic naevus surrounded by a symmetrical white circle4 ; however, sometimes inflammation makes identifying this entity challenging, as it can present atypical clinical and dermoscopic features. This atypical presentation of Sutton's naevi can pose a diagnostic challenge. In addition, some groups, including ours, have recently published the confocal findings of such equivocal Sutton's naevi5,6 .

Keywords: sutton naevi; microscopy; sutton; reflectance confocal; confocal microscopy

Journal Title: Journal of the European Academy of Dermatology and Venereology
Year Published: 2021

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