title: "Sky Full of Stars" Pattern: Dermoscopic Findings in a Desmoplastic Giant Congenital Melanocytic Nevus.
abstract: Desmoplastic giant congenital melanocytic nevus (DGCN) is an uncommon variant of congenital nevus, presenting as a progressive induration and hypopigmentation of the lesion that occasionally causes hair loss and even total or partial disappearance of the nevus. A 6-month-old girl with a giant congenital melanocytic nevus that involved the entire posterior side of the right thigh was seen in our department. Nine months later, the peripheral area of the nevus presented as a marked induration with hypopigmentation. Dermoscopy demonstrated a reticular pattern exclusively located in the perifollicular areas, with a radial distribution from the follicular ostium that mimicked a "sky full of stars." We report a case of DGCN, including a dermoscopic description of the findings noted in the indurated and hypopigmented areas that appear as a "sky full of stars" image.
authors.affiliation: Department of Dermatology, Hospital Universitario Virgen del Rocio, Sevilla, Spain.
authors.forename: Pablo
authors.initials: P
authors.lastname: Martín-Carrasco
authors.affiliation: Department of Dermatology, Hospital Universitario Virgen del Rocio, Sevilla, Spain.
authors.forename: José
authors.initials: J
authors.lastname: Bernabeu-Wittel
authors.affiliation: Department of Dermatology, Servicio Andaluz de Salud, Sevilla, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Dominguez-Cruz
authors.affiliation: Department of Pathology, Hospital Universitario Virgen del Rocio, Sevilla, Spain.
authors.forename: Teresa
authors.initials: T
authors.lastname: Zulueta Dorado
authors.affiliation: Department of Dermatology, Hospital Universitario Virgen del Rocio, Sevilla, Spain.
authors.forename: Julian
authors.initials: J
authors.lastname: Conejo-Mir Sanchez
mesh_terms: D001707:Biopsy, Needle; D046169:Dermoscopy / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D017496:Hypopigmentation / Q000175:diagnosis / Q000473:pathology*; D007150:Immunohistochemistry; D007223:Infant; D008545:Melanoma / Q000175:diagnosis / Q000473:pathology*; D008991:Monitoring, Physiologic; D009508:Nevus, Pigmented / Q000175:diagnosis / Q000473:pathology*; D011230:Precancerous Conditions / Q000473:pathology*; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000175:diagnosis / Q000473:pathology*