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Hypopigmented Common Blue Nevi
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Blue nevi are classically divided into 2 major types: common and cellular.1 However, there is significant overlap between these 2 types of lesions. Both represent benign proliferations of dermal melanocytes, and both occur most commonly in sites where dermal melanocytes are still present at birth, ie, the scalp, lumbosacral region, and dorsum of the hand and foot.
Report of Cases
Case 1
A 29-year-old healthy white woman presented for a skin cancer screening examination. A lesion on the dorsum of her right hand had been present for as long as she could remember. For the past several months, its central portion had lightened in color. A firm gray-colored papule on the dorsum of her right hand measured 4 mm in diameter. At the periphery of the lesion, a discontinuous thin rim of blue coloration was noted.
The results of a histological examination revealed a symmetrical wedge-shaped proliferation of spindled cells with prominent pigmentation within the . . . [Full Text of this Article] Case 2 Comment
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