This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Dermatologic Disorders  • Nevi  • Diagnosis  • Dermatologic Disorders, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Arch Dermatol. 2009;145(10):1183-1188.

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

Diagnosis: Common blue nevus with satellitosis.

MICROSCOPIC FINDINGS

A shave biopsy specimen of the largest central papule revealed a fibrotic dermis containing many heavily pigmented oval, spindle-shaped, and dendritic melanocytes and melanophages (Figure 2). Pale cells, mitotic figures, cytologic atypia, and nuclear pleomorphism were not observed (Figure 3). Similar findings were observed in a punch biopsy specimen from an adjacent satellite macule (not shown).

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

DISCUSSION

Clinically, the common blue nevus with satellitosis is a striking mimic for melanoma with in-transit metastases. This blue nevus variant is defined by a large central "mother" papule or plaque with multiple nearby smaller satellite macules and papules on a background of normally pigmented skin. The basic histopathologic characteristics of the mother and the satellites are the same: those of a benign blue nevus.

There are 3 main types of solitary blue nevus: common, cellular, and combined. The unusual variants of multiple, grouped blue nevi that . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Multiple Blue Macules and Papules on the Scalp—Quiz Case
Eleanor Knopp, Kevin Diette, Christine Ko, and Rossitza Lazova
Arch Dermatol. 2009;145(10):1183-1188.
EXTRACT | FULL TEXT