JAMES M.RICHNIKMD, PhD
THE LESIONS shown are from the posterior aspect of the right arm of a 62-year-old white man (Figure 1), middle upper chest of a 31-year-old white man (Figure 2), and the right lower back of a 27-year-old white woman (Figure 3) (size bar, 5 mm). All 3 lesions reveal a relatively similar pattern. The edges exhibit a red-brown network pattern; centrally, the lesions have an opalescent quality with shades of gray and red. This pattern appears to be relatively uncommon compared with the other "dysplastic"/atypical nevus patterns. Presumably this pattern represents a unique genetic defect or different environmental influences during lesion development compared with other "dysplastic"/atypical nevus subtypes.
Grichnik JM. Dermoscopy of Melanocytic Neoplasms: Subpatterns of Dysplastic/Atypical Nevi. Arch Dermatol. 2003;139(12):1696. doi:10.1001/archderm.139.12.1696
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