Accelerated Repigmentation of Halo Nevus Following Excision: A Case Report

Authors

  • Rika Yulizah Gobel Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Emma Novauli Hutabarat Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Khairuddin Djawad Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia https://orcid.org/0000-0002-4569-6385
  • Anis Irawan Anwar Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Siswanto Wahab Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Airin Nurdin Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
  • Idrianti Idrus Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2023.11274

Keywords:

halo, nevus, hypopigmentation, melanocytic, excision

Abstract

BACKGROUND: Halo nevus is a benign condition characterized by symmetrical oval-shaped and well-defined hypopigmented patch surrounding melanocytic lesions. Their sizes varies from a few millimeters to centimeters. A “wait and see” approach is usually preferred in most cases of halo nevus. However, the condition can cause severe psychological impact and impair patient’s quality of life, especially when it emerges on prominent areas such as the face. Surgical option can be utilized for removal of melanocytic lesions and accelerate regression of the halo.

CASE PRESENTATION: We report a case of a 25-year-old woman with white patches around two moles on her face who was diagnosed as halo nevus. Surgical excision was performed and a 12-week follow-up showed reduction in diameter of the halo nevus.

CONCLUSION: Large halo nevus can cause significant esthetic burden that may affect patient’s quality of life. A more invasive approach such as excision of underlying nevus may be used to achieve more rapid results.

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References

Cuda JD, Moore RF, Busam KJ. Melanocytic nevi. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, et al., editors. Fitzpatrick’s Dermatology. 9th ed. USA: McGraw- Hill Education; 2019.

Balin SJ, Barnhill RL. Benign melanocytic. In: Bolognia JL, Schaffer JV, Cerroni L, editors. Dermatology. 4th ed. Netherlands: Elsevier; 2018.

Bishnoi A, Parsad D. Halo nevus, leucotrichia and mucosal vitiligo. In: Vitiligo. Cham: Springer; 2019. https://doi.org/10.1007/978-3-319-62960-5_9 DOI: https://doi.org/10.1007/978-3-319-62960-5_9

Hafi NB, Bachaspatimayum R, Soraisham R, Muhammed N. Halo Nevi in children: A separate entity or a sign of vitiligo? Indian J Paediatr Dermatol. 2019;20(3):227-30. https://doi.org/10.4103/ijpd.IJPD_88_18 DOI: https://doi.org/10.4103/ijpd.IJPD_88_18

Griffiths CE, Barker J, Bleiker TO, Chalmers R, Creamer D. Rook’s Textbook of Dermatology. 4th volume. West Sussex, UK: John Wiley and Sons; 2016. DOI: https://doi.org/10.1002/9781118441213

Tatu AL. A study of halo naevi, vitiligo and asymptomatic autoimmune thyroiditis. Invest Dermatol Venereol Res. 2017;3(1):105-7. https://doi.org/10.15436/2381-0858.17.1438 DOI: https://doi.org/10.15436/2381-0858.17.1438

Awad SS, Aziz RT, Mohammed SS. Management of resistant halo nevi. J Cosmet Laser Ther. 2019;21(2):118-21. https://doi.org/10.1080/14764172.2018.1469772 PMid:29741410 DOI: https://doi.org/10.1080/14764172.2018.1469772

Wollina U. Nevi presenting a halo: Sutton nevus, Meyerson nevus, and Wollina-Schaarschmidt halo-like dermatosis. Our Dermatol Online. 2017;8(2):149-51. https://doi.org/10.7241/ourd.20172.40 DOI: https://doi.org/10.7241/ourd.20172.40

Awad SS. Seven strategies for the management of depigmented skin according to the etiopathogenesis. J Cosmet Dermatol. 2021;20(3):738-45. https://doi.org/10.1111/jocd.13631 DOI: https://doi.org/10.1111/jocd.13631

Yang Y, Li S, Zhu G, Zhang Q, Wang G, Gao T, et al. A similar local immune and oxidative stress phenotype in vitiligo and halo nevus. J Dermatol Sci. 2017;87(1):50-9. https://doi.org/10.1016/j.jdermsci.2017.03.008 PMid:28385330 DOI: https://doi.org/10.1016/j.jdermsci.2017.03.008

Achehboune K, Zinoune S, Baybay H, Elloudi S, Mernissi FZ. Halo nevus in the dermoscopy. Our Dermatol Online. 2020;11:e46.1-2. https://doi.org/10.7241/ourd.2020e.46 DOI: https://doi.org/10.7241/ourd.2020e.46

Marghoob A, Braun R. An Atlas of Dermoscopy. London: CRC Press; 2012. DOI: https://doi.org/10.3109/9781841847627

Ruby KN, Li Z, Yan S. Aberrant expression of HMB45 and negative PRAME expression in halo nevi. J Cutan Pathol. 2021;48(4):519-25. https://doi.org/10.1111/cup.13916 PMid:33184871 DOI: https://doi.org/10.1111/cup.13916

Shah SD, Shah A, Ankad B, Mutalik S. Efficacy of 308-nm light in the management of halo nevi: An open-label, pilot study. J Cutan Aesthet Surg. 2019;12(1):17-24. https://doi.org/10.4103/JCAS.JCAS_138_18 PMid:31057264

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Published

2023-01-05

How to Cite

1.
Gobel RY, Hutabarat EN, Djawad K, Anwar AI, Wahab S, Nurdin A, Idrus I. Accelerated Repigmentation of Halo Nevus Following Excision: A Case Report. Open Access Maced J Med Sci [Internet]. 2023 Jan. 5 [cited 2024 Apr. 26];11(C):27-9. Available from: https://oamjms.eu/index.php/mjms/article/view/11274

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Case Report in Internal Medicine

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