DERMOSCOPY A pink papule Amanda Oakley and Marius Rademaker Tristram Clinic, Hamilton, New Zealand CASE HISTORY A 33-year-old woman attended for skin examination by digital dermoscopy (mole mapping). She was fair skinned (Fitzpatrick phototype I) with blue eyes and red hair. She reported many sunburns in childhood, and exposure to sunbeds two or three times weekly for several years during her early 20s. There was no known personal or family history of skin cancer. Examination revealed moderate freckling and few tan-coloured melanocytic naevi. The patient was concerned about a lesion that first appeared over her right hip 6–12 months ago, and had recently dark- ened in colour. Examination revealed a dome-shaped pink papule, 6 mm in diameter (Fig. 1a). Dermoscopy revealed a prominent central cluster of red globules and red dotted vessels (Fig. 1b). There was no pigment network. DERMOSCOPY CONTINUING MEDICAL EDUCATION (CME) QUESTIONS True or false statements: 1. Skin phototype I patients often have pink naevi – True/ False 2. The lesion is a single colour and has a symmetrical structure clinically – True/False 3. There is no pigment network, so this is a non- melanocytic skin lesion – True/False 4. Pigmented lesions of single colour and symmetrical structure are nearly always benign – True/False 5. Prominent red spots in this lesion are lacunes indicat- ing the lesion to be a haemangioma – True/False 6. The red spots in this lesion are typical of glomerular vessels seen in intraepidermal carcinoma (Bowen disease) – True/False 7. Dotted vessels are uncommon in amelanotic mela- noma – True/False 8. Hairpin vessels are typically seen in thin melanoma – True/False 9. Classic Spitz naevus presents as a dome-shaped pink papule with symmetrical structure – True/False 10. The benign clinical and dermoscopic features of this lesion mean there is no need to excise it – True/False Correspondence: Dr Amanda Oakley, Tristram Clinic, 6 Knox Street, Hamilton, New Zealand. Email: oakley@wave.co.nz Amanda Oakley, FRACP. Marius Rademaker, FRACP. Conflict of interest: Amanda Oakley and Marius Rademaker have been paid consultancy fees by MoleMap NZ. Submitted 12 October 2008; accepted 20 October 2008. a b Figure 1 (a) Macro view of lesion on the left hip. (b) Dermoscopic view of the same lesion. Australasian Journal of Dermatology (2009) 50, 66–69 doi: 10.1111/j.1440-0960.2008.00510.x © 2009 The Authors Journal compilation © 2009 The Australasian College of Dermatologists