Descriptions of multiple blue nevi in an agminated distribution are rare. Combined nevi consisting of blue nevi with other nevoid lesions are uncommon, and the combination with a Spitz nevus has been described only once.1 Herein, we describe a patient with an agminate-type combined nevus consisting of a common blue nevus with a junctional Spitz nevus.
Report of a Case.
A healthy 15-year-old white girl presented with a history of an irregularly pigmented lesion located on the left mandibula and beneath the left ear. It arose at the age of 6 months and had been growing very slowly ever since. For the past 6 years, parts of the lesion had become progressively darker. Physical examination showed a 7×5-cm area, covered with both blue-gray and skin-colored papules (Figure 1). The background did not have a cafe-au-lait—like appearance, and an examination with Wood's light was not performed. The skin-colored papules resembled
van Leeuwen RL, Vink J, Bergman W, Herfst M, Bruijn JA. Agminate-Type Combined Nevus Consisting of a Common Blue Nevus With a Junctional Spitz Nevus. Arch Dermatol. 1994;130(8):1074-1075. doi:10.1001/archderm.1994.01690080144028