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August 1994

Agminate-Type Combined Nevus Consisting of a Common Blue Nevus With a Junctional Spitz Nevus

Author Affiliations

Leiden, the Netherlands

Department of Dermatology University Hospital University of Leiden Wassenaarseweg 10 2333 AA Leiden, the Netherlands

Leiden, the Netherlands

Arch Dermatol. 1994;130(8):1074-1075. doi:10.1001/archderm.1994.01690080144028

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

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