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January 1972

Multiple Target-Like Pigmented Nevi

Author Affiliations

Monroe, Mich

Arch Dermatol. 1972;105(1):129-130. doi:10.1001/archderm.1972.01620040089030

To the Editor.—  We have observed a patient with an interesting morphologic type of pigmented nevi of the trunk. We have been unable to locate any reference to this clinical form in the standard textbooks of dermatology.

Report of a Case  A 20-year-old white girl was first seen in 1968, requesting advice and treatment of multiple pigmented nevi. The lesions had been present for many years and gradually increased in size.Physical examination revealed two dozen pigmented nevi on her trunk, mainly over the abdominal wall down to the pubic region. There were also a few over the breasts, back, and shoulders. Each lesion consisted of a central 2- to 4-mm, slightly elevated brownish-black papule surrounded by a number of small pinpoint-sized, pigmented papules or macules arranged in a circle at a distance of 4 to 5 mm from the central lesion (Figure). In this circle, the skin was