Problematic Lesions in Children

Elvira Moscarella, Vincenzo Piccolo, Giuseppe Argenziano, Aimilios Lallas, Caterina Longo, Fabio Castagnetti, Stefania Pizzigoni, Iris Zalaudek

Research output: Contribution to journalArticlepeer-review


Melanoma in childhood is rare, and appears more commonly either in association with a preexisting (congenital) nevus, or with spitzoid features than de novo. Thus, problematic melanocytic lesions in children are essentially represented by congenital nevi and Spitz nevi that can be regarded as melanoma precursors and melanoma simulators, respectively. As a consequence, clinical and dermoscopic features of melanoma in children differ from those in an adult population. Herein we describe common clinical and dermoscopic features of problematic lesions in children, focusing on congenital and Spitz/Reed nevi, and including other problematic lesions, such as atypical, blue, acral, and scalp nevi.

Original languageEnglish
Pages (from-to)535-547
Number of pages13
JournalDermatologic Clinics
Issue number4
Publication statusPublished - Oct 2013


  • Atypical spitz tumor
  • Childhood
  • Congenital nevi
  • Melanocytic nevi
  • Melanoma
  • Spitz nevi

ASJC Scopus subject areas

  • Dermatology


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