Lattice-like pattern

A 14-year-old girl consulted for this small plantar nevus.

Dermoscopy revealed a typical lattice-like pattern which is a subtype of parallel furrow pattern in favour of a benign acral plantar nevus.

Other cases of acral nevi:

1  2  3  4  5  6  7  8  9  10  11  

Acral melanocytic nevus

A 48-year-old woman consulted for this pigmented lesion on her 5th right finger present since early childhood. 

Dermoscopy revealed a parallel furrow pattern and in some areas a lattice-like pattern.

The dermoscopic features were in favor of a benign acral nevus.

A regular yearly follow-up was planned.

In parallel furrow pattern, the pigmentation follows the sulci at the difference of parallel ridge pattern where the pigmentation follows the cristae.

In Acral melanocytic nevi, 3 types of patterns can be observed:

• parallel furrow pattern
• lattice-like pattern
• fibrillar pattern

Parallel ridge pattern are typical of acral melanomas but can be observed in other cases:

• milk-line nevus
• subcorneal hemorrhages (talon noir)

Other cases of acral nevi:

1  2  3  4  5  6  7  8  9  10  11  

Leaf-like structures

A 92-year-old woman presented a red tumor on her neck.

Dermoscopy revealed many brown structures with a leaf-like configuration located at the periphery of the lesion. This was typical of leaf-like structures, also called maple leaf-like areas in the first publications.

Leaf-like structures are quite exclusively found in basal cell carcinomas but have also been reported in featureless melanomas.

Other cases of basal cell carcinomas: 

1 2 3 4 5 6 7 8 9  10 11 12 13 14 15 16 17 18 19 20 21

Hairpin-like vessels and seborrheic keratoses

These 2 cases of seborrheic keratoses are dysplaying hairpin vessels:

Case 1: clinical view

Case 1: dermoscopic view: numerous hairpin blood vessels 

Case 2: dermoscopic view: rare hairpin vessels

Hairpin vessels can be found in:

• seborrheic keratoses (fine, often surrounded by a hypopigmented halo)
• Melanoma (irregular)
• Spitz nevi
• keratoacanthomas