Early melanoma with halo eczema (Meyerson's phenomenon)

Rodins, Karl, Byrom, Lisa and Muir, Jim (2011) Early melanoma with halo eczema (Meyerson's phenomenon). Australasian Journal of Dermatology, 52 1: 70-73. doi:10.1111/j.1440-0960.2010.00698.x

Author Rodins, Karl
Byrom, Lisa
Muir, Jim
Title Early melanoma with halo eczema (Meyerson's phenomenon)
Journal name Australasian Journal of Dermatology   Check publisher's open access policy
ISSN 0004-8380
Publication date 2011-02
Sub-type Article (original research)
DOI 10.1111/j.1440-0960.2010.00698.x
Open Access Status
Volume 52
Issue 1
Start page 70
End page 73
Total pages 4
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Abstract We present a case of a 49-year-old man who presented with a solitary atypical pigmented lesion with a surrounding halo of dermatitis. Dermoscopy showed a pigment network at the periphery with areas of scar-like depigmentation, negative pigment network and erythema. The lesion was treated preoperatively with a potent topical corticosteroid resulting in a reduction of inflammation. Histology showed an early Clark level 1 melanoma arising within a severely dysplastic compound melanocytic naevus. There was an adjacent perivascular chronic inflammatory cell infiltrate with occasional eosinophils. Minimal, though definite spongiosis with parakeratosis was also present. The scar was subsequently re-excised achieving appropriate excision margins for melanoma in situ. Six months later, there was recurrence of dermatitis at the scar with no evidence of recurrent melanoma. To our knowledge, melanoma with Meyerson phenomenon has not been reported in the literature. This case highlights that all lesions should be evaluated on clinical and dermoscopic grounds regardless of the presence or absence of eczema. Our case adds yet another entity that may display Meyerson phenomenon and consequently a halo of eczema cannot be considered a reassuring sign when evaluating melanocytic lesions.
Keyword Melanoma
Meyerson phenomenon
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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