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Connective tissue nevi in children: institutional experience and review.
[proteus syndrome]
Connective
tissue
nevi
(
CTN
)
are
circumscribed
hamartomas
of
the
skin
in
which
there
is
an
abnormal
mixture
of
normal
components
of
the
dermis
that
may
be
sporadic
or
associated
with
syndromes
such
as
Buschke-
Ollendorff
,
tuberous
sclerosis
,
and
Proteus
.
We
sought
to
specify
the
clinical
and
histologic
features
of
CTN
in
childhood
and
to
propose
a
diagnostic
approach
and
updated
classification
.
This
was
a
retrospective
study
in
a
tertiary
pediatric
outpatient
population
,
accessing
clinical
and
histopathological
records
.
We
classified
114
cases
of
CTN
from
1980
to
2008
.
The
majority
of
cases
were
confirmed
by
histopathological
examination
.
Therefore
,
our
series
excludes
many
CTN
that
were
not
biopsied
.
In
addition
,
follow-up
was
variable
.
Our
series
demonstrates
the
usefulness
of
a
modified
classification
for
CTN
.
Biopsy
should
be
done
when
clinical
diagnosis
is
uncertain
,
or
in
multiple
lesions
.
When
biopsy
is
performed
it
should
include
normal-appearing
skin
for
comparison
and
,
in
Buschke-
Ollendorff
syndrome
,
limited
anterior
-
posterior
x-rays
of
the
hands
,
wrists
,
feet
,
ankles
,
knees
,
and
pelvis
instead
of
a
full
skeletal
survey
.
Diseases
Validation
Diseases presenting
"skeletal survey"
symptom
child syndrome
dentinogenesis imperfecta
monosomy 21
proteus syndrome
werner syndrome
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