A hazy pigmented lesion What does dermoscopy reveal concerning this lesion? Case presentation A 29-year-old girl had a longstanding 6 mm size irregularly pigmented mole on her behalf upper back. Dermoscopy of the mole uncovered hazy pigmentation with an asymmetrical design and a focally hyperpigmented focus at the upper correct edge. There was an irregular pigment network with patchy small diameter mesh Click here . The network at the periphery blended with the surrounding freckles. Excision biopsy of an epidermis was revealed by the lesion with a prominent elongated rete ridge system, which projected in to the dermis as an anastomosing network. There were uniform pigmented melanocytes at the epidermal junction, and melanocytes were also present as clusters of little pigmented cells in the upper dermis focally..
It may be necessary to differentiate parasomnias from each other and from sleep related epilepsy. Specialist investigation might be required in a few circumstances, such as when rest behaviours are complicated, injurious or threatening, and sometimes in medicolegal circumstances. For straightforward situations of sleep walking in childhood, providing description and reassurance may be all that is necessary. Simple safety precautions should be advised when parasomnia behaviour is harmful potentially. Most parasomnias will react favourably to pharmacotherapy, if required.. Helpful information to parasomnias Parasomnias are relatively common. Most could be successfully managed, if required, with pharmacotherapy.