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Arch Facial Plast Surg. 2008;10(5):357-358.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Archives of Dermatology

The "Ugly Duckling" Sign: Agreement Between Observers

Objectives: To assess whether multiple observers can identify the same pigmented lesion(s) as being different from a patient's other moles ("ugly duckling" [UD] sign) and to explore whether the UD sign is sensitive for melanoma detection.

Design: Baseline back images of 12 patients were obtained from a database of standardized patient images. All patients had at least 8 atypical moles on the back, and in 5 patients, one of the lesions was a histologically confirmed melanoma. The overview back images were supplemented with close-up clinical images of lesions. Participants were asked to evaluate whether the images showed any lesions on the back that differed from other nevi.

Setting: Dermatology clinic specializing in pigmented lesions.

Participants: Images were evaluated by 34 participants, including 8 pigmented lesion experts, 13 general dermatologists, 5 dermatology nurses, and 8 nonclinical medical staff.

Main Outcome Measures: A lesion was . . . [Full Text of this Article]

Archives of Surgery

Archives of Internal Medicine

Archives of Ophthalmology