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Dermoscopic appearance of dermatofibroma-like Spitz nevus

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1 Dermoscopic appearance of dermatofibroma-like Spitz nevus
David Moreno-Ramirez, MD, PhD, Juan J. Rios-Martin, MD, Lara Ferrandiz, MD, Francisco M. Camacho, MD, PhD  Journal of the American Academy of Dermatology  Volume 61, Issue 5, Pages (November 2009) DOI: /j.jaad Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 A, Clinical and dermoscopic images of the lesion. A 10-mm, irregularly pigmented papule with a grey-whitish depressed central area. B, Dermoscopic image of the lesion shows a central white scar–like patch surrounded by peripheral reticular depigmentation. Dotted and nonspecific vascular structures are also observed in the central area. Journal of the American Academy of Dermatology  , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 Histopathologic images of the lesion. A, Panoramic view reveals a symmetric lesion with a well differentiated central area. B, The margins of the lesion show a junctional proliferation of pigmented melanocytes arranged in confluent nests with focal pagetoid spread of melanocytes limited to the lower half of the epidermis. C, The central area shows epidermal atrophy, hypogranulosis, and a dermoepidermal cleft–like reaction with a mononuclear infiltrate in the papillary dermis (Hematoxylin-eosin stain.) Journal of the American Academy of Dermatology  , DOI: ( /j.jaad ) Copyright © 2009 American Academy of Dermatology, Inc. Terms and Conditions


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