Clinically and dermatoscopically hypomelanotic blue nevus
Keywords:
dermoscopy, desmoplastic melanoma, hypomelanotic blue nevusAbstract
Hypomelanotic blue nevus is a rare variant of blue nevus, and a diagnostic challenge for the dermatologic clinician. We present a case of a 40 years old woman, with a grayish, round and asymptomatic papuloid tumor on her right arm, which developed eight years before consultation. With a clinical diagnosis of hypomelanotic blue nevus in mind, we performed a dermoscopy and an excisional biopsy was taken. Histopathology, however, showed a common blue nevus. We highlight the clinical-pathological discordance seen in our case, since it was difficult to suspect blue nevus on first impression and with dermoscopy.
References
I. Zembowicz A, Phadke PA. Blue nevi and variants: an update. Arch Pathol Lab Med 2011;135:327-336.
II. Ruiz-Leal AB, Domínguez-Espinosa AE. Dermatoscopia del nevo azul y sus variantes. Dermatol Rev Mex 2015;59:102-113.
III. González M, Val-Bernal J, González M, Armesto S, et ál. Nevus azul hipopigmentado: una variante poco frecuente del nevus azul. Med Cutan Iber Lat Am 2006;34:63-66.
IV. Bhawan J, Cao SL. Amelanotic blue nevus: a variant of blue nevus. Am J Dermatopathol 1999;21:225-228.
V. Emley A, Nguyen L, Yang S, Mahalingam M. Somatic mutations in GNAQ in amelanotic/hypomelanotic blue nevi. Hum Pathol 2011;42:136-140.
VI. Ferrara G, Soyer HP, Malvehy J, Piccolo D, et ál. The many faces of blue nevus: a clinicopathologic study. J Cutan Pathol 2007;34:543-551.
VII. Phadke A, Zembowicz A. Blue nevi and related tumors. Surg Pathol2009;2:483-496.
VIII. Zembowicz A, Granter S, McKee P, Mihm M. Amelanotic cellular blue nevus: a hypopigmented variant of the cellular blue nevus: clinicopa-thologic analysis of 20 cases. Am J Surg Pathol 2002;26:1493-1500.
Downloads
Published
Issue
Section
License
Copyright (c) 2017 Argentine Society of Dermatology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
El/los autor/es tranfieren todos los derechos de autor del manuscrito arriba mencionado a Dermatología Argentina en el caso de que el trabajo sea publicado. El/los autor/es declaran que el artículo es original, que no infringe ningún derecho de propiedad intelectual u otros derechos de terceros, que no se encuentra bajo consideración de otra revista y que no ha sido previamente publicado.
Le solicitamos haga click aquí para imprimir, firmar y enviar por correo postal la transferencia de los derechos de autor