Dermatoscopic Features of Combined nevus – a Case Report

Combined nevi (CN), a rare nevus type represent a category of so-called compound tumors. Determined by the presence of two or more different nevus in one biopsy specimen, CN commonly show variable clinical and dermatoscopic features. Therefore, CN could be a diagnostic challenge. We present a 7-year-old Caucasian girl with a pigmented lesion on the arm of no specified duration. Clinical examination showed sharply demarcated pigmented papule. Dermatoscopy revealed a nonchaotic lesion with structureless well defined, minimally eccentric blue area, structureless brown area and brown clods in a symmetric fashion, no vessels and no other clues for melanoma. Histopathology showed a compound common melanocytic nevus, blue nevus in the centre of the lesion with no signs of atypia. Up to now, only 25 cases of CN with dermatoscopic description have been published, withno precise dermatoscopic features established yet. Therefore, studies with larger number of cases are needed for the final conclusions.