Spitz nevi
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)
Starburst pattern (with tiered globules / streaks) (radial streaming)
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)
Serpiginous interconnecting broadened hypopigmented lines that surround elongated and curvilinear globules (a whitish grid surrounding the vessels).[3]
White shiny lines (crystalline structures)
Shiny white lines that are often oriented orthogonally or in parallel to each other.[4]
- ↑ Fried LJ, Tan A, Berry EG, et al. Dermoscopy Proficiency Expectations for US Dermatology Resident Physicians: Results of a Modified Delphi Survey of Pigmented Lesion Experts. JAMA Dermatol. Published online January 06, 2021. doi:10.1001/jamadermatol.2020.5213
- ↑ https://dermoscopedia.org/Spitz_/_Reed_nevi#Pigmented_Spitz_nevus
- ↑ https://dermoscopedia.org/Spitz_/_Reed_nevi#Non_pigmented_Spitz_nevus
- ↑ https://dermoscopedia.org/Spitz_/_Reed_nevi#Non_pigmented_Spitz_nevus
