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Some authors suggest that most of the pediatric cases diagnosed as in situ melanoma lack the same biological malignant potential as similar lesions in adult patients.45,46,56 Therefore, even when atypical clinical manifestations are present, we should remember that malignant melanocytic lesions in childhood are exceptional.1,7,26,40,45,48,51,53 Some of the signs of alarm of atypical longitudinal melanonychias have already been described

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