“…Twenty-seven cases of agminated type have been reported, all but three [8][9][10] occurring in children, usually involving the face, trunk or arms. The lesions arise both on congenital hyperpigmented maculae and on grossly appearing normal skin, as in our case.…”
A case of a 7-year-old boy with multiple agminated Spitz nevi of the outer part of the prepuce is described. The normal and electron microscopic pictures are presented.
“…Twenty-seven cases of agminated type have been reported, all but three [8][9][10] occurring in children, usually involving the face, trunk or arms. The lesions arise both on congenital hyperpigmented maculae and on grossly appearing normal skin, as in our case.…”
A case of a 7-year-old boy with multiple agminated Spitz nevi of the outer part of the prepuce is described. The normal and electron microscopic pictures are presented.
We describe a 13-year-old girl with multiple pigmented nodules and plaques arranged in a cluster in the right lumbar region, which had developed since infancy. Eleven of 15 lesions which were examined histologically were found to be Spitz naevi. The remaining four lesions were compound naevocellular naevi, and two of them showed focal dysplasia. Eight Spitz naevi were investigated immunohistologically with monoclonal antibodies against HLA-antigens and malignancy-associated melanocytic antigens which are rarely present in common naevi. Naevus cells in all lesions expressed HLA-ABC antigens, but lacked HLA-DR antigens in seven of the eight lesions. All naevi were positive for 'constitutive' (KG-6-56) and 'early' (K-1-2) markers of naevomelanocytic cells. In five of the eight Spitz naevi, at least one of the three malignancy-associated melanocytic antigens PAL-M1, A-1-43 and A-10-33 was found. The expression of malignancy-associated antigens in multiple agminate Spitz naevi is at variance with their benign clinical course.
In 1948 Dr Sophie Spitz described criteria that distinguished juvenile melanoma from malignant melanoma. Since then the cases of eruptive Spitz naevi have been reported arising on normal skin, on lightly pigmented patches and on hypopigmented patches. There are only 12 reports of Spitz naevi arising on hyperpigmented patches: we describe here three further cases, all on the arms of children, seen in our department in a single year.
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