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David Moreno-Ramirez, MD; Lara Ferrandiz, MD; Juan J. Rios-Martin, MD; Francisco M. Camacho, MD

Arch Dermatol. 2005;141:763-764.

Background  Three cases of pointillist nevus, which is a distinctive clinical type of benign melanocytic nevus with variegated pigment, have been described in the literature to date.

Observations  A 24-year-old man presented with an acquired melanocytic lesion composed of multiple tiny pigmented dots. Dermoscopy revealed multiple brown globules on a reddish skin-colored background, and histologic examination demonstrated architectural disorder with cytologic atypia.

Conclusion  To the best of our knowledge, we report a case of dysplastic pointillist nevus.

Author Affiliations: Departments of Dermatology (Drs Moreno-Ramirez, Ferrandiz, and Camacho) and Pathology (Dr Rios-Martin), Pigmented Lesion and Teledermatology Clinic, University Hospital Virgen Macarena, Seville, Spain.

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