Blue Nevus with a Dermoscopic Appearance of Peripheral Streaks with Branches

Abstract

Blue nevi are dermal dendritic melanocytic proliferations presenting as papules, nodules or plaques of blue, blue-gray or blue-brown color. Dermoscopic appearance commonly shows global patterns as homogeneous mono/dichromatic pigmentation and multichromatic pigmentation. Here, we report the case of a blue nevus with the dermoscopic feature of peripheral streaks with branches. With histopathologic deep sections, we confirmed that dermal dendritic melanocytes were distributed in the direction of the streaks. We emphasize that streaks are a rare but important sign of blue nevi.

Keywords

• Differential diagnosis
• Blue nevus
• Dermoscopy
• Peripheral streaks
• Spitz nevus
• Malignant melanoma