10.5826/dpc.1204a158
According to the Authors Guidelines in case of image letters no abstract should be provided.
text/xml
2160-9381
2092
en
Beata Bergler-Czop
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Dermoscopic findings of the evolving pigmented Spitz nevus in a child
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-10-31
2021-10-10
2022-10-31
2022-11-29
e2022158
Dermatol Pract Concept
According to the Authors Guidelines in case of image letters no abstract should be provided.
Beata Bergler-Czop
2022/10/31
10.5826/dpc.1204a158
e2022158
School of Medicine in Katowice, Medical University of Silesia in Katowice, Department of Dermatology
2160-9381
en
e2022158
Dermoscopic findings of the evolving pigmented Spitz nevus in a child
https://dpcj.org/index.php/dpc/article/download/2092/1819
   Dermoscopic Findings of the Evolving Pigmented
               Spitz Nevus in a Child
                                Joanna Pogorzelska-Dyrbuś1, Beata Bergler-Czop2


1 “Estevita” Specialist Medical Practice, Tychy, Poland
2 School of Medicine in Katowice, Medical University of Silesia in Katowice, Department of Dermatology, Katowice, Poland



Citation: Pogorzelska-Dyrbuś J, Bergler-Czop B. Dermoscopic findings of the evolving pigmented Spitz nevus in a child.
Dermatol Pract Concept. 2022;12(4):e2022158. DOI: https://doi.org/10.5826/dpc.1204a158
Accepted: January 27, 2022; Published: October 2022
Copyright: ©2022 Pogorzelska-Dyrbuś et al. This is an open-access article distributed under the terms of the Creative Commons
Attribution-NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted
noncommercial use, distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Joanna Pogorzelska-Dyrbuś MD, PhD Specjalistyczna Praktyka Lekarska “Estevita”, Pasaz Europejski 8/1 Street,
43-100 Tychy, Silesia, Poland, Telephone: +48604542643 E-mail: jpogorzelskadyrbus@gmail.com




Case presentation                                                        Teaching point
A 12-year-old girl presented for a routine ­examination                  Typical for children Spitz nevi usually occur as a solitary,
with a 4-mm oval-shaped dark brown papule on the                         rapidly growing, pink nodule on the face [2]. This case
right temple which slowly grew since her early childhood                 ­represents a less common presentation of Spitz nevus in
(­Figure 1A). ­Dermoscopy showed a homogenous half-blue                  childhood, with changes extremely extended in time.
and half-brown presentation (Figure 1B 20x, FotoFinder
GmBH). The lesion has changed subtly within two years
                                                                         References
(Figure 1C). After three years, the lesion displayed a uniform
blue-brown color with streaks distributed at the periphery                1. Cinotti E, Tognetti L, Campoli M, et al. Super-high magnification
(Figure 1D). The high magnification dermoscopy revealed                      dermoscopy can aid the differential diagnosis between melanoma
                                                                             and atypical naevi. Clin Exp Dermatol. 2021;46(7):1216-1222.
peripherally distributed brown roundish cells [1] (Figure 1E,
                                                                             DOI: 10.1111/ced.14566. PMID: 33486758.
F, 400x, FotoFinder GmBH). The patient underwent excision
                                                                          2. Lallas A, Apalla Z, Ioannides D, et al. Update on dermoscopy of
of the lesion and histopathological diagnosis of Spitz nevus                 Spitz/Reed naevi and management guidelines by the International
was established. The consent to publish data has been ob-                    Dermoscopy Society. Br J Dermatol. 2017;177(3):645-655. DOI:
tained from the patient’s parents.                                           10.1111/bjd.15339. PMID: 28118479.




Image Letter | Dermatol Pract Concept. 2022;12(4):e2022158                                                                                  1
Figure 1. (A) The clinical presentation of the nevus - a 4-mm oval-shaped dark brown papule. (B) Dermoscopic image of the nevus at the first
visit with a homogenous half-blue and half-brown presentation. (C) Subtle changes in dermoscopic features of the nevus after two years, with
streaks appearing in the upper left quadrant (claret asterisks). (D) Dermoscopic image of the nevus after three years with uniform blue-brown
color with streaks distributed at the periphery (green asterisks). (E and F) High magnification dermoscopic image of the lesion revealed
blue-grey background with distinctive brown oval structures corresponding to the hair follicles (blue arrows) and peripherally distributed
brown roundish cells corresponding to peripheral streaks (red arrows).




2                                                                              Image Letter | Dermatol Pract Concept. 2022;12(4):e2022158
