Wednesday, 21 November 2007

Recurrent nevus

A 25-year-old man consulted for pigmented patches that had appeared 2 years before around a plantar scar. The scar was due to the former excision of a benign acral plantar melanocytic nevus when he was 14-year-old.
Dermoscopy revealed a relatively symmetric centrifugal pattern from the center of the scar (*). The centrifugal pattern of the pigmentation, and the absence of many dermoscopic structures and colors were in favor of a benign recurrent nevus. A 3-month follow-up was proposed and in case of enlargement a new excision would be scheduled.