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We read with interest the article by Kittler et al¹ titled "Frequency and Characteristics of Enlarging Common Melanocytic Nevi" in a recent issue of the ARCHIVES. This is an important article that demonstrates that even benign melanocytic nevi change over time and show enlargement especially in younger patients. We recently published a study titled "Two Types of Pattern Modification Detected on the Follow-up of Benign Melanocytic Skin Lesions by Digitized Epiluminescence Microscopy."² We used digital dermoscopy for the follow-up of benign melanocytic skin lesions over a 2-year period and found modifications in 69% of the lesions (mean age of patients, 29.3 years). This is a high percentage compared with the 5.3% of modifications reported by Kittler et al (mean age of their patients, 34.2 years). We agree with Kittler et al that we had a relatively high percentage of Spitz nevi in our series, but we think that this difference . . . [Full Text of this Article]

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