Abstract

A 33-year-old woman attended for skin examination bydigital dermoscopy (mole mapping). She was fair skinned(Fitzpatrick phototype I) with blue eyes and red hair. Shereported many sunburns in childhood, and exposure tosunbeds two or three times weekly for several years duringher early 20s. There was no known personal or familyhistory of skin cancer. Examination revealed moderatefreckling and few tan-coloured melanocytic naevi. Thepatient was concerned about a lesion that first appearedover her right hip 6–12 months ago, and had recently dark-ened in colour.Examination revealed a dome-shaped pink papule, 6 mmin diameter (Fig. 1a). Dermoscopy revealed a prominentcentral cluster of red globules and red dotted vessels(Fig. 1b). There was no pigment network.

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