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I read with interest in the February issue of the ARCHIVES the thorough and compelling article by Schaffer and coworkers¹ regarding the notion that speckled lentiginous nevus is a subtype of congenital melanocytic nevus, and the accompanying editorial on nevus spilus (NS) by Cohen.²

Schaffer and coworkers described 10 patients with congenital lesions that evolved from a clinical appearance of speckled lentiginous nevus to a more "classic" pattern of congenital nevus, or became "hybrid" lesions with an admixed pattern of classic congenital nevus and speckled lentiginous nevus.¹ Histologic examination of the spots within those latter lesions showed congenital nevus–type features. The authors concluded that their data support the notion that speckled lentiginous nevi are a subtype of congenital nevi and they summarized considerable other evidence in the literature to support their view.

I particularly enjoyed their suggestion that "a speckled lentiginous nevus can be likened to a melanocytic garden, and . . . [Full Text of this Article]

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