EVOLUTION OF A NEVUS-SPILUS

The evolution of a naevus spilus is documented with serial photographs over a 12-year period, The lesion was remarkable for increasing numbe rs of macules and papules within the background of the cafe-au-lait ma cule, Biopsy of a new papule showed lentiginous melanocytic hyperplasi a without atypia, We advise photography and periodic follow-up of larg e, clinically atypical or changing naevi spill. Indications for consid ering biopsy of naevi spill, irrespective of size, include atypical cl inical features or change in one of the hyperpigmented macules or papu les, eventuating in an atypical clinical appearance.