By Gary M. White, MD

Spitz nevi (SN) may rarely occur grouped in one area.


Multiple, grouped papules, often in an area of congenital hyperpigmentation on the face of a child are characteristic. The cheeks are often affected and onset is usually in the first year of life. The papules may occur on normal-colored skin or hypopigmented skin. The occurrence of multiple, agminated SN on normal skin has been precipitated by sunburn or XRT.


Excision of individual lesions may be performed. Recurrence of a large nodular SN in the location of the shave excision of 4 smaller lesions has been reported.


Jama Derm 2013;149;1077.


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