Multiple Spitz nevi after allogeneic hematopoietic stem cell transplantation

Pediatr Dermatol. 2018 Sep;35(5):e328-e329. doi: 10.1111/pde.13566. Epub 2018 Jun 26.

Abstract

Spitz nevus commonly appears as a solitary lesion. A 12-year-old male patient presented with a 6-month history of several pigmented lesions on his trunk and lower extremities. He had undergone chemoradiotherapy and unrelated umbilical cord blood transplantation against recurring acute lymphoblastic leukemia for 6 years. After that, several pigmented lesions abruptly developed on his trunk and lower extremities, and the number of those increased significantly. Pathologically, the diagnosis of multiple Spitz nevi was made. In a clinical correlation, we diagnosed multiple Spitz nevi resulting from such an immunocompromised condition. This is the first description of clinical, dermoscopic, and histopathologic features of multiple Spitz nevi in the hematopoietic cell transplantation (HSCT) recipient child.

Keywords: Spitz nevi; immunocompromised patient; multiple Spitz nevi.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Immunocompromised Host
  • Male
  • Nevus, Epithelioid and Spindle Cell / etiology
  • Nevus, Epithelioid and Spindle Cell / pathology*
  • Skin / pathology
  • Skin Neoplasms / etiology
  • Skin Neoplasms / pathology*
  • Transplantation, Homologous