A 85-year-old woman consulted for a pigmented lesion on the tip of her nose.
Dermoscopy revealed:
- a pseudo-pigmented network (due to the facial localisation)
- asymmetric pigmentation of the follicular openings
- slate gray dots disposed as annular- granular structures
Clinical and dermoscopic features were in favor of a lentigo maligna melanoma which was confirmed by a punch biopsy.