Nevus Spilus (Speckled Lentiginous Nevus)

• Figure 2.8 A: Congenital nevus B: Spitz nevus (Reprint from Laxer RM, ed. The Hospital for Sick Children: Atlas of Pediatrics. Philadelphia, PA: Current Medicine; 2005) C: Nevus spilus (Courtesy of Dr. Paul Getz)

  Presents as tan, regularly bordered patch with darker macules within lesion
• Melanoma rarely arises within nevus component
• Associated with phakomatosis pigmentovascularis and pigmentokeratotica (latter with organoid nevus + hemiatrophy + neurologic defects)