Starburst pattern

A 43-year-old man consulted for this acquired pigmented lesion on his left leg.

Dermoscopy revealed:

• a central blotch
• a regular starburst pattern

 Two diagnoses were evoked: Reed nevus or melanoma. Regular blotch and symmetrical starburst pattern favored Reed nevus.

Lesion was excised and pathology revealed a superficial spreading melanoma with a Breslow index at 0.28mm.