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Table of Contents
Vol. 214, No. 2, 2007
Issue release date: March 2007
Dermatology 2007;214:174–176
(DOI:10.1159/000098579)

Dermoscopy of a Plantar Combined Blue Nevus: A Simulator of Melanoma

Panasiti V. · Devirgiliis V. · Borroni R.G. · Mancini M. · Rossi M. · Curzio M. · Mastrecchia B. · Bottoni U. · Innocenzi D. · Calvieri S.
aDepartment of Dermatology, University of Rome ‘La Sapienza’, Rome, and bDepartment of Dermatology and Oncology, University of Catanzaro ‘Magna Graecia’, Catanzaro, Italy

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Abstract

Dermoscopy allows early detection of melanoma also on acral volar skin. The majority of melanocytic nevi on palms and soles may show three major dermoscopic patterns: the parallel-furrow pattern, the lattice-like pattern, and the fibrillar pattern. Melanomas at these sites are characterized by the parallel ridge pattern. We present the case of a 59-year-old woman who had an oval papule of bluish color, measuring 0.6 × 0.9 cm, localized on her left sole, that had been present, unchanged, for more than 10 years. Dermoscopy showed a parallel ridge pattern. The histopathological examination revealed a combined blue nevus. We present this case to underline that on acral volar skin also intradermal nevi, such as combined blue nevi, may dermoscopically exhibit a parallel ridge pattern, simulating melanoma.



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