A 35-year-old woman was referred for assessment of a lesion on her right leg that had been present for 3 years. Dermoscopy revealed a vascular pattern with peripheral dot vessels. Pathology confirmed the lesion was a Spitz nevus. Spitz nevi can present as evolving lesions in various colors and patterns including globular, starburst, reticular, or homogeneous under dermoscopy. They may also display an atypical pattern or vascular pattern with dotted vessels, as was seen in this case.

1. Dermoscopy. Vascular
pattern in Spitz nevus
F. Peral Rubio, M.D.
Department of Dermatology
Hospital Universitario Virgen Macarena
Seville, Spain

2. Dermoscopy. Vascular
pattern in Spitz nevus
 A 35-years-old women.
 The patient was referred to us for the
assessment of a lesion on the right
leg 3 years

3. Dermoscopy. Vascular
pattern in Spitz nevus
Dermoscopy revealed:
 A Vascular pattern with peripheral dot
vessels

6. dot vessels

7. Dermoscopy. Vascular
pattern in Spitz nevus
 Pathology revealed a Spizt nevus.

8. Dermoscopy. Vascular
pattern in Spitz nevus
 Spitz nevus present as evolving
lesions and tend to be pink or black.
 They may be clinically,
dermoscopically and histologically
difficult to distinguish from melanoma.

9. Dermoscopy. Vascular
pattern in Spitz nevus
Several dermoscopic patterns have been
described for Spitz naevi.
 Globular: central grey or bluish pigment
surrounded by large peripheral globules
 Starburst: central grey or bluish pigment
surrounded by radiating peripheral streaks or
globules
 Reticular: superficial dark network
 Homogeneous
 Atypical: irregular blotches, globules and
streaks
 Vascular pattern with dotted vessels

10. Dermoscopy. Vascular
pattern in Spitz nevus
F. Peral Rubio, M.D.
Department of Dermatology
Hospital Universitario Virgen Macarena
Seville, Spain