Patient 173
On February - 19 - 2010


In a 56-year-old woman, on the nose
What to see at dermoscopy:
-pseudonetwork
-irregular pigmentation around follicular opening (circle)
-erythema
-finguerprint-like structures
-moth-eaten border
Biopsy at the irregular pigmentation (circle area) was indicated to rule out a lentigo melanoma
Histology correlation: actinic keratosis
Comment: the finding of finguerprint-like structures and the moth-eaten border indicates the possibility of coexistence of a solar lentigo beside the actinic keratosis.