Spitz nevi

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 Author(s): Lauren Fried
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Below are dermoscopic features commonly associated with the diagnosis “Spitz nevi”.[1] The example images have been approved by a panel of experts as representative of each given feature.

For a more in-depth discussion of associated features, please see the Dermoscopedia page for “Spitz nevi”.

Vascular pattern (pink homogenous with dotted vessels)[edit]

Starburst pattern (with tiered globules / streaks) (radial streaming)[edit]

The starburst pattern, indicating the radial growth phase of the tumor, consists of a central homogenous black-blue pigmentation surrounded by streaks, pseudopods, or finger-like projection regularly and symmetrically distributed at periphery.[2]

Negative network (reticular depigmentation)[edit]

Serpiginous interconnecting broadened hypopigmented lines that surround elongated and curvilinear globules (a whitish grid surrounding the vessels).[3]

White shiny lines (crystalline structures)[edit]

Shiny white lines that are often oriented orthogonally or in parallel to each other.[4]