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November 1978

Halo Nevi Without Dermal Infiltrate

Author Affiliations

Bordeaux, France

Arch Dermatol. 1978;114(11):1718. doi:10.1001/archderm.1978.01640230088035

To the Editor.—  In the November 1977 issue of the Archives (113:1572-1575), Brownstein et al presented a case of uninflamed halo congenital nevus without epidermal infiltrate. We already described a similar case in 1975,1 and since then two new cases were observed during our histologic examination of 51 halo nevi.2 We do not think that the lack of infiltrate is a characteristic of the congenital halo nevus but marks an evolutive stage. Like Roenigk et al,3 we distinguish the halo nevi that persist over several years without involution of the tumor from the halo nevi accompanied by a rapid involution of the tumor. We think it is possible to distinguish the following pattern:

  1. Stage of perinevic vitiligo. This occurs generally on a single nevus. The clinical examination shows no inflammatory signs at the periphery. In immunofluorescence, no B lymphocytes are observed. This stage can last several

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