Pigmented Spitz nevus (PSN) rarely occurs on glabrous skin (palms and soles). Among the Japanese population, the incidence is estimated at 2% (4/205) of all Spitz nevi. Due to its rarity, dermoscopic findings of PSN on glabrous skin are not well known. To our knowledge, only one report described PSN on the palm, which showed a starburst pattern.2 Here, we report a case of PSN on the sole with characteristic dermoscopic findings. A 28-year-old Japanese woman was referred to our clinic for evaluation of a black macule located on the sole that had appeared 3 months earlier. Physical examination revealed an oval, flat-surfaced, elevated black macule, 5 mm in size, on the lateral center side of the right sole (Fig. 1a). Dermoscopic examination revealed a central black astructural area and a rim of peripheral large blue-black globules and streaks simulating a "starburst" pattern. Although a typical parallel pattern did not exist, spread of pseudopods was observed along the ridges of the skin marking (Fig. 1b, arrows). Two months later, the lesion enlarged to 6 mm in size.
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