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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Main Authors:	Shiga, Takeo, Nakajima, Kimiko, Tarutani, Masahito, Izumi, Miki, Tanaka, Masaru, Sano, Shigetoshi
Format:	Online
Language:	English
Published:	Derm101.com 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3663372/

id	pubmed-3663372
recordtype	oai_dc
spelling	pubmed-36633722013-06-19 Blue nevus with a starburst pattern on dermoscopy Shiga, Takeo Nakajima, Kimiko Tarutani, Masahito Izumi, Miki Tanaka, Masaru Sano, Shigetoshi Observation 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. Derm101.com 2012-10-31 /pmc/articles/PMC3663372/ /pubmed/23785621 http://dx.doi.org/10.5826/dpc.0204a07 Text en Copyright: ©2012 Shiga et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Shiga, Takeo Nakajima, Kimiko Tarutani, Masahito Izumi, Miki Tanaka, Masaru Sano, Shigetoshi
spellingShingle	Shiga, Takeo Nakajima, Kimiko Tarutani, Masahito Izumi, Miki Tanaka, Masaru Sano, Shigetoshi Blue nevus with a starburst pattern on dermoscopy
author_facet	Shiga, Takeo Nakajima, Kimiko Tarutani, Masahito Izumi, Miki Tanaka, Masaru Sano, Shigetoshi
author_sort	Shiga, Takeo
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
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.
publisher	Derm101.com
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3663372/
_version_	1611980895140446208

Blue nevus with a starburst pattern on dermoscopy

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