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Nevus, Halo

Fawn J. Winkelman, DO and Adam Strosberg, DNP, ARNP-BC Reviewed 06/2019
 


BASICS

DESCRIPTION

Halo nevus is an ordinary benign melanocytic nevus in the process of regression often seen with a depigmented or targetoid halo. It usually occurs in the 1st or 2nd decade of life an...

DIAGNOSIS

HISTORY

Patients will note that a mole is changing. 

PHYSICAL EXAM

  • Brown papular lesion with sharply marginated oval or round halo (area of depigmentation)

  • <5 mm

  • Located on trunk but can be an...

TREATMENT

  • Reassurance

  • Biopsy only if suspicious for dysplasia or melanoma

MEDICATION

  • No treatment is indicated.

  • Benign halo nevi are only of cosmetic concern, and patients are asymptomatic.

  • Treatment with ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Advise patient to have an annual skin cancer screening. 

PATIENT EDUCATION

  • Advise about the warning signs of skin cancer and melanoma.

  • Educate pati...

REFERENCES

1
Sutton RL. An unusual variety of vitiligo (leukoderma acquisitum centrifugum). J Cutan Dis.  1916;34:797–800. [View Abstract on OvidMedline]
2
Leung AKC, Barankin B. Pigmented lesion wi...

CODES

ICD10

  • D22.9 Melanocytic nevi, unspecified

  • D22.5 Melanocytic nevi of trunk

ICD9

  • 216.9 Benign neoplasm of skin, site unspecified

  • 216.5 Benign neoplasm of skin of trunk, except scrotum

SNOMED

398028009 Ha...

CLINICAL PEARLS

  • Halo nevus is a benign finding.

  • A 3-month follow-up to reevaluate the need for biopsy may be advisable; biopsy if other characteristics are suggestive of a malignant lesion

  • A photograph ...

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