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Department of Dermatology, Pigmented Lesion and Teledermatology Clinic, University Hospital Virgen Macarena, Seville, Spain. dmoreno@e-derma.org
BACKGROUND: Three cases of pointillist nevus, which is a distinctive clinical type of benign melanocytic nevus with variegated pigment, have been described in the literature to date. OBSERVATIONS: A 24-year-old man presented with an acquired melanocytic lesion composed of multiple tiny pigmented dots. Dermoscopy revealed multiple brown globules on a reddish skin-colored background, and histologic examination demonstrated architectural disorder with cytologic atypia. Conclusion To the best of our knowledge, we report a case of dysplastic pointillist nevus.
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