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All samples must be sent for histology Larger numbers of moles with both typical and atypical melanocytic naevi Refer to the chapter Atypical melanocytic naevi Routine referral - patients with a mixture of typical and atypical melanocytic naevi require a thorough dermoscopic assessment and photography, from which the patient should receive a copy of their images to assist in self-monitoring Urgent skin cancer referral - if melanoma cannot be excluded Disclaimer - the author PCDS cannot accept responsibility for any misleading or incorrect statements, and the management of individual patients remains the direct responsibility of the individual doctor

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But because lupus patients already have an overly active immune system, the extra activity is counterproductive

Ethics declarations Ethics approval This study was performed in line with the principles of the Declaration of Helsinki