Friday, February 05, 2016

Active Nevus

17 yo boy seen for another problem.  Atypical nevus noted on left shoulder.

O/E:  Type III-IV skin. 5 mm papule with slight play of color clinically.  Pt. unaware of lesion.

Dermoscopic images shows pigment dots of varying sizes.

Dx:  Actively growing nevus.  Easy to excise with a 6 mm punch.  Best to do this of just observe?  Patient will be leaving for college in another city in a few months.

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