Blue nevus with a starburst pattern on dermoscopy

An 11-year-old girl presented to our department with a blue-gray papule approximately 4 mm in diameter. We suspected that it was a blue nevus or a pigmented Reed/Spitz nevus. On dermoscopic observation, the lesion showed homogeneous black-bluish pigmentation. This dermoscopic feature was suggestive...

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Autores principales:	Takeo Shiga, Kimiko Nakajima, Masahito Tarutani, Miki Izumi, Masaru Tanaka, Shigetoshi Sano
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2012
Materias:	blue nevus dermoscopy starburst pattern Spitz nevus histopathology Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/065a4912d20244ea9d10d581670be295
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spelling	oai:doaj.org-article:065a4912d20244ea9d10d581670be2952021-11-17T08:32:59ZBlue nevus with a starburst pattern on dermoscopy10.5826/dpc.0204a072160-9381https://doaj.org/article/065a4912d20244ea9d10d581670be2952012-10-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1189https://doaj.org/toc/2160-9381 An 11-year-old girl presented to our department with a blue-gray papule approximately 4 mm in diameter. We suspected that it was a blue nevus or a pigmented Reed/Spitz nevus. On dermoscopic observation, the lesion showed homogeneous black-bluish pigmentation. This dermoscopic feature was suggestive of a blue nevus. However, near-circumferential streaks and a global feature of a “starburst pattern” were also observed, as is often found in a Reed/Spitz nevus. The lesion was excised and histological examination revealed spindle cells with melanin pigments diffusely present in the upper dermis and around hair follicles in the mid-dermis, but not in the epidermis. The melanocytic cells were arranged in a symmetrical wedge-shaped configuration. In addition, there was a diffuse fibrosis. Finally, we made a diagnosis of a blue nevus based on these findings. Takeo ShigaKimiko NakajimaMasahito TarutaniMiki IzumiMasaru TanakaShigetoshi SanoMattioli1885articleblue nevusdermoscopystarburst patternSpitz nevushistopathologyDermatologyRL1-803ENDermatology Practical & Conceptual (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	blue nevus dermoscopy starburst pattern Spitz nevus histopathology Dermatology RL1-803
spellingShingle	blue nevus dermoscopy starburst pattern Spitz nevus histopathology Dermatology RL1-803 Takeo Shiga Kimiko Nakajima Masahito Tarutani Miki Izumi Masaru Tanaka Shigetoshi Sano Blue nevus with a starburst pattern on dermoscopy
description	An 11-year-old girl presented to our department with a blue-gray papule approximately 4 mm in diameter. We suspected that it was a blue nevus or a pigmented Reed/Spitz nevus. On dermoscopic observation, the lesion showed homogeneous black-bluish pigmentation. This dermoscopic feature was suggestive of a blue nevus. However, near-circumferential streaks and a global feature of a “starburst pattern” were also observed, as is often found in a Reed/Spitz nevus. The lesion was excised and histological examination revealed spindle cells with melanin pigments diffusely present in the upper dermis and around hair follicles in the mid-dermis, but not in the epidermis. The melanocytic cells were arranged in a symmetrical wedge-shaped configuration. In addition, there was a diffuse fibrosis. Finally, we made a diagnosis of a blue nevus based on these findings.
format	article
author	Takeo Shiga Kimiko Nakajima Masahito Tarutani Miki Izumi Masaru Tanaka Shigetoshi Sano
author_facet	Takeo Shiga Kimiko Nakajima Masahito Tarutani Miki Izumi Masaru Tanaka Shigetoshi Sano
author_sort	Takeo Shiga
title	Blue nevus with a starburst pattern on dermoscopy
title_short	Blue nevus with a starburst pattern on dermoscopy
title_full	Blue nevus with a starburst pattern on dermoscopy
title_fullStr	Blue nevus with a starburst pattern on dermoscopy
title_full_unstemmed	Blue nevus with a starburst pattern on dermoscopy
title_sort	blue nevus with a starburst pattern on dermoscopy
publisher	Mattioli1885
publishDate	2012
url	https://doaj.org/article/065a4912d20244ea9d10d581670be295
work_keys_str_mv	AT takeoshiga bluenevuswithastarburstpatternondermoscopy AT kimikonakajima bluenevuswithastarburstpatternondermoscopy AT masahitotarutani bluenevuswithastarburstpatternondermoscopy AT mikiizumi bluenevuswithastarburstpatternondermoscopy AT masarutanaka bluenevuswithastarburstpatternondermoscopy AT shigetoshisano bluenevuswithastarburstpatternondermoscopy
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Blue nevus with a starburst pattern on dermoscopy

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