Flat pigmented macules on sun-damaged skin of the head/neck: junctional nevus, atypical lentiginous nevus, or melanoma in situ?
I Zalaudek, C Cota, G Ferrara, E Moscarella… - Clinics in …, 2014 - Elsevier
The clinical recognition of lentigo maligna (LM) in the mottled chronic sun-damaged skin can
be challenging, because it shares many clinical features with other pigmented macules that
commonly arise on sun-damaged skin. These include solar lentigo, flat seborrheic keratosis,
and pigmented actinic keratosis, but almost never “nevus.” The reason nevus is not included
in the differential diagnosis of LM can be explained by the fact that the stereotypical
appearance of a facial nevus differs remarkably from that of an LM. Facial nevi in adults are …
be challenging, because it shares many clinical features with other pigmented macules that
commonly arise on sun-damaged skin. These include solar lentigo, flat seborrheic keratosis,
and pigmented actinic keratosis, but almost never “nevus.” The reason nevus is not included
in the differential diagnosis of LM can be explained by the fact that the stereotypical
appearance of a facial nevus differs remarkably from that of an LM. Facial nevi in adults are …