Figure 1. Clinical and Dermoscopic Photographs of a Pigmented Spitz (Reed) Nevus in a Prepubertal Patient.

Baseline photographs were obtained of the nevus on the thigh of a girl in her first decade of life, displaying the characteristic starburst pattern. After 12 months, dermoscopy revealed an eccentric zone with irregularly distributed dotted vessels and loss of pigmentation and an overall asymmetry of colors and structures. The lesion was excised, and histopathologic diagnosis was a Spitz nevus.