SOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDVINCENTLIUMD
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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).
Multiple Blue Macules and Papules on the Scalp—Diagnosis. Arch Dermatol. 2009;145(10):1183-1188. doi:10.1001/archdermatol.2009.215-b