Dr. Castellaneta: I Nei o Nevi

I nei si possono classificare in due grandi gruppi: MELANOCITARI E NON MELANOCITARI.
I nei non melanocitari sono anomalie di sviluppo, o in eccesso o in difetto che interessano i vari elementi cutanei ad esclusione del sistema melanocitario. I nei melanocitari possono essere dovuti o ad una variazione, in eccesso o in difetto dell'attività melaninogenetica dei melanociti o ad un loro incremento numerico.

NEI NON MELANOCITARI-
Neo Verrucoso Epidermico: caratterizzato da una rilevatezza grigio-giallastra, o anche brunastra, a superfice verrucosa o ipercheratosica, di forma e dimensioni variabili;
Neo Verrucoso Sebaceo: quasi sempre localizzato all'estremità cefalica, ha un aspetto verrucoso con tonalità giallognola.
Neo Comedonico: si presenta come una chiazza ovalare a tonalità bruna con numerosi comedoni neri incassati.
Neo Peloso: nevo caratterizzato da gruppi di peli più o meno lunghi.
Neo Connettivale: sono vaste chiazze a limiti mal definiti e irregolari.
Neo di Becker: relativamente frequente, è caratterizzato da una chiazza ipercromica a limiti sfumati, che si manifesta nella tarda infanzia, ma si fa più pronunciata alla pubertà ricoprendosi spesso di grossi e radi peli scuri, a cui possono accompagnarsi rilievi papulosi.
Nei SudoraliNei Vascolari ,Angiomi, Linfangiomi (riserverò un articolo a parte)

Nei Melanocitari da iperplasia melanocitica
Neo lentigginoso
Neo Giunzionale, composto, dermico: dalle minuscole dimensioni iniziali può accrescersi lentamente, con limiti sempre netti ma con tonalità di colore variabile.
Neo Blu: è un neo relativamente frequente che, per il colore, desta ingiustificati timori.
Macchie Mongoliche
Nei Congeniti: alla nascita
Neo di Spitz-Allen: neo a rapidissimo accrescimento, prevalentemente localizzato al volto, che insorge di solito nell'età infantile, ma può comparire anche in giovani o adulti.
Neo di Sutton (Vitiligo Perinevica): caratterizzato dalla comparsa di un'area tondeggiante acromica attorno ad un neo, piano o rilevato, acquisito o congenito.
Il neo, successivamente perderà la zona pigmentaria e gradualmente tenderà a scomparire. Successivamente anche l'acromia tenderà a scomparire.

NEI MELANOCITARI:
Nei Melanocitari senza iperplasia melanocitica
Neo AcromicoEfelidi
Nei Pigmentari Piani (macchie caffè-latte) Lentigo Solare (o Attinica o Solare): tipica sulle zone più esposte ai raggi solari è legata ai fenomeni di invecchiamento cutaneo.

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