At a Glance: Blue naevi versus Spitz naevi

Blue Naevi
Clinical features

  • Often found on the skin of older children and teenagers, but might develop at any age.
  • Unusual but non-cancerous mole.
  • Dark blue colour.
  • Dermoscopy reveals a characteristic uniform steel-blue pattern.
  • Occur anywhere on the body.

Management

  • No treatment is necessary, unless it is a new lesion.
  • Some patients request excision for cosmetic reasons.

Spitz Naevi
Clinical features

  • Affects the face or limbs of young children.
  • Most frequently found in fair-skinned.
  • Grow rapidly and then remain static for years.
  • Often disappear spontaneously after a while.
  • Also called juvenile melanomas.
  • Benign.
  • Dome-shaped, red, reddish-brown or darker papules or nodules up to one or two centimetres in diameter.

Management

  • Excision
 
Blue naevi are often found in children but can develop at any age
 Spitz naevi or juvenile often disappear spontaneously

Dr Vasa Gnanapragasam, a GP in Sutton, Surrey

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in


Just published

GP typing at computer

GP practices asked to switch on data sharing with UK Biobank

GP practices have been asked to share patient data with the biomedical database UK...

Child vaccination

'Serious concern' as child vaccination rates slip and MMR hits new low

Health officials have voiced 'serious concern' after child vaccination rates in England...

Talking General Practice logo

Podcast: GP contract trends, the future of physician associates, cost-of-living impact on patient health

The team discusses what recent tenders for GP contracts tell us about the possible...

GP consultation

GP practices delivering 150,000 extra appointments per day compared with 2019

GP practices in England delivered 150,000 more appointments per working day in the...

Surgeon looking at a monitor in an operating theatre

NICE recommends non-invasive surgical procedure to target obesity

NICE has said that a non-invasive weight loss procedure should be used by the NHS...

GP trainee

Two training posts deliver one full-time GP on average, report warns

Two training posts are needed on average to deliver a single fully-qualified, full-time...