I enjoyed reading the comments from Braun et al on the significance of the dermoscopic patterns seen in acral melanocytic lesions. Acral volar skin is the most prevalent site of malignant melanoma in nonwhite populations. In Japanese patients, about half of all cutaneous melanomas affect this anatomic site. Therefore, early accurate detection of malignant melanoma of this site is essential to improve the prognosis, particularly for nonwhites.
Saida T. Exclusively Benign Dermoscopic Pattern in a Patient With Acral Melanoma—Reply. Arch Dermatol. 2007;143(9):1209-1226. doi:10.1001/archderm.143.9.1215