Dr Ben Esdaile
Consultant Dermatologist
MBBS (Hons) BSc MRCP
Benign naevi - dermoscopic patterns.
Reticular naevi:
These moles have a regular network that fades towards the edge. They can have muli-focal varients. This is a common pattern in acquired naevi and congential naevi.
Reticulohomogenous:
A regular peripheral network and central homogenous pale area is a naevus pattern often found in Fitzpatrick skin type I/II. A darker central homogenous pattern is seen in darker skin types.
Homogenous:
A homogenous pattern can be seen in acquired naevi and congential naevi as well as blue naevi. When homogenous pink pattern beware the amelanotic melanoma.
Globular:
Symmetrical globules throughout the naevus are found in a 'cobblestone' pattern in dermal naevi. Globular patterns are also commonly found in congenital naevus.
Reticuloglobular:
A regular peripheral network with central globules. When there is a central reticular network with peripheral globules (single layer) then this represents an evolving naevus.
A regular reticular naevus
A single row of peripheral globules in an evolving naevus.
A globular naevus.