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Isil Kilinc-Karaarslan, MD; Taner Akalin, MD; Fezal Ozdemir, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Classically, lentigo maligna (LM) may be present for years before it demonstrates dermal invasion and becomes LM melanoma (LMM). Follicular melanoma (FM) is a rare form of melanoma distinguished from LMM by having shorter duration and much smaller lesions (<0.5 cm in diameter) that are relatively symmetric.¹

Report of a Case

An asymmetric, 0.3-cm, brown macular lesion was observed on the nose of a 61-year-old man, who reported that the lesion was present for 1 year. Follicular openings were surrounded by a rim of hyperpigmentation. One asymmetric follicular opening and 1 rhomboidal structure were seen dermoscopically. The clinical diagnosis of LM seemed reasonable, and excision was recommended. However, the patient did not follow the recommendation. He returned 8 months later with an enlarged (0.5-cm) and darker lesion with apparent homogeneous areas and clearly obliterated hair follicles on dermoscopy (Figure 1).

Figure appears in full text version. Figure 1. Images . . . [Full Text of this Article]

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