Pediatrician's role in the management of giant congenital melanocytic nevus: Case report [Dev konjenital melanositik nevus yönetiminde pediatri hekiminin rolü]

Abstract

Although, congenital giant melanocytic nevi (CGMN) are uncommon in pediatric patients, they carry an increased risk of malignancy, neurocutaneous melanocytosis, and malformations. The management requires a multidisciplinary approach and the pediatrican plays an important role. We aimed to report a case with CGMN, and discuss the management with special emphasis on the pediatrican's role. During a well child visit, physical examination of a 3 months old girl revealed a circumferential large melanocytic nevus over her right leg. There were satellite lesions on her left leg, and back. Melanocytic nevus presents a challenge to the pediatricans because they are lacking the necessary knowledge. Close follow up with with documentation of the size, and location of the nevi, palpation of the lesion for nodule, measurement of head circumference and neurodevelopmental assessment, taking an appropriate medical history with emphasis on neurological symptoms associated with neurocutaneous melanocytosis is important. Copyright © 2015 by Türkiye Klinikleri.