Eruptive disseminated Spitz nevi - Case report,

Abstract Spitz nevus is a benign melanocytic lesion, which presents in several ways: solitary, agminated, or disseminated. The disseminated variant is uncommon; it may have a rapid evolution (the eruptive form) and be difficult to manage. This report presents the case of a 24-year-old patient with m...

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Main Authors: Pablo Vargas, Rodrigo Cárdenas, Roberto Cullen, Andrés Figueroa
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2020-03-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000100071&tlng=en
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author Pablo Vargas
Rodrigo Cárdenas
Roberto Cullen
Andrés Figueroa
author_facet Pablo Vargas
Rodrigo Cárdenas
Roberto Cullen
Andrés Figueroa
author_sort Pablo Vargas
collection DOAJ
description Abstract Spitz nevus is a benign melanocytic lesion, which presents in several ways: solitary, agminated, or disseminated. The disseminated variant is uncommon; it may have a rapid evolution (the eruptive form) and be difficult to manage. This report presents the case of a 24-year-old patient with multiple papules on his limbs, which had appeared four years previously. On physical examination, 120 pink and skin-colored papules were seen, which under dermoscopy were observed to be homogeneous, pink vascular lesions. Histopathologic study revealed epithelioid cells arranged in groups or singly in the dermis and dermo-epidermal junction. They were HMB-45 positive in the superficial dermis, and Ki-67 < 1%. Given these findings, a diagnosis of eruptive disseminated Spitz nevi was made.
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spelling doaj.art-c9252b18dcf243118cc213e803bc35b02022-12-21T17:21:32ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962020-03-01951717410.1016/j.abd.2019.01.010Eruptive disseminated Spitz nevi - Case report,Pablo Vargashttps://orcid.org/0000-0002-9388-2940Rodrigo Cárdenashttps://orcid.org/0000-0003-4952-7842Roberto Cullenhttps://orcid.org/0000-0002-7661-4944Andrés Figueroahttps://orcid.org/0000-0002-7847-7605Abstract Spitz nevus is a benign melanocytic lesion, which presents in several ways: solitary, agminated, or disseminated. The disseminated variant is uncommon; it may have a rapid evolution (the eruptive form) and be difficult to manage. This report presents the case of a 24-year-old patient with multiple papules on his limbs, which had appeared four years previously. On physical examination, 120 pink and skin-colored papules were seen, which under dermoscopy were observed to be homogeneous, pink vascular lesions. Histopathologic study revealed epithelioid cells arranged in groups or singly in the dermis and dermo-epidermal junction. They were HMB-45 positive in the superficial dermis, and Ki-67 < 1%. Given these findings, a diagnosis of eruptive disseminated Spitz nevi was made.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000100071&tlng=enEpithelioid and spindle cellImmunohistochemistryNevi and melanomasNevus
spellingShingle Pablo Vargas
Rodrigo Cárdenas
Roberto Cullen
Andrés Figueroa
Eruptive disseminated Spitz nevi - Case report,
Anais Brasileiros de Dermatologia
Epithelioid and spindle cell
Immunohistochemistry
Nevi and melanomas
Nevus
title Eruptive disseminated Spitz nevi - Case report,
title_full Eruptive disseminated Spitz nevi - Case report,
title_fullStr Eruptive disseminated Spitz nevi - Case report,
title_full_unstemmed Eruptive disseminated Spitz nevi - Case report,
title_short Eruptive disseminated Spitz nevi - Case report,
title_sort eruptive disseminated spitz nevi case report
topic Epithelioid and spindle cell
Immunohistochemistry
Nevi and melanomas
Nevus
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962020000100071&tlng=en
work_keys_str_mv AT pablovargas eruptivedisseminatedspitznevicasereport
AT rodrigocardenas eruptivedisseminatedspitznevicasereport
AT robertocullen eruptivedisseminatedspitznevicasereport
AT andresfigueroa eruptivedisseminatedspitznevicasereport