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Report of First Case and Review of Literature

Akmal S. Hassan, MD; Klaus W. Schulte, MD; Thomas Ruzicka, MD; Mosaad Megahed, MD

Arch Dermatol. 2003;139:1608-1610.

Background  Deep penetrating nevus is a recently described variant of melanocytic nevi with clinical and histopathological features that may be confused with malignant melanoma, blue nevus, pigmented Spitz nevus, or congenital melanocytic nevus. We report a case with linear arrangement of multiple deep penetrating nevi. To our knowledge, such presentation has never been reported in the literature.

Observations  We describe a patient with multiple darkly pigmented lesions in the right periauricular area, above and behind the ear. The histopathological features of these lesions were consistent with deep penetrating nevus.

Conclusions  To our knowledge, this is the first report of linear arrangement of multiple deep penetrating nevi. We consider this case a unique presentation of deep penetrating nevus.

From the Departments of Dermatology, Cairo University, Cairo, Egypt (Dr Hassan), and Heinrich Heine University, Düsseldorf, Germany (Drs Schulte, Ruzicka, and Megahed). The authors have no relevant financial interest in this article.

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