1. Reply Journal of the American Academy of Dermatology
Bari Joan Bett, MD 
Journal of the American Academy of Dermatology 
Volume 54, Issue 5, Pages (May 2006)
DOI: /j.jaad
Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions

2. Fig 1
Woman, 49 years of age, giant bathing trunk nevus extending to knees, with unacceptable prophylactic surgical results and severe scarring using split-thickness skin grafts from upper abdomen donor site performed at age 2. These scars are cosmetically disfiguring, fragile, easily irritated and abraded, somewhat numb, and prone to severe pruritus. This person has had multiple episodes of fear regarding possible malignant changes over the years whenever the scars have become red, itchy, and irritated or started bleeding after superficial abrasion. Note multiple satellites, faint patch of vitiligo in normal skin above graft, and hypopigmentation of nevus above hip. The nevus was coal in color at birth and has lightened to cocoa over the years. Note deep groove over spine due to complete absence of subcutaneous fat underneath the nevus. Sweating is absent in both nevus and skin grafts.
Journal of the American Academy of Dermatology  , DOI: ( /j.jaad )
Copyright © 2006 American Academy of Dermatology, Inc. Terms and Conditions