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Nevus Spilus
Congenital or Acquired?
Arch Dermatol. 2001;137:215-216.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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WHETHER NEVI SPILI (NS), also known as speckled lentiginous nevus, are congenital or acquired is currently under debate. In the article by Schaffer et al,1 the authors describe 10 patients, each of whom had NS that was present at birth or within the first month of life. The authors contend that because of the clinical history and their spotted appearance, these lesions represented NS that were congenital rather than acquired.
Nevi spili are characterized clinically by tan patches containing numerous darker macules or papules. The histopathology of the tan background is characterized by elongation of the rete ridges with increased basal layer melanin pigment and in many cases a lentiginous melanocytic hyperplasia, similar to changes seen in lentigines.2 The darker areas may be junctional nevi, intradermal nevi, compound nevi, neurotized nevi,3 blue nevi,4 or Spitz nevi.5-6 Although NS are generally benign, there are reports of malignant melanoma developing within these . . . [Full Text of this Article]
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