Multiple Nevi on a Young Man

September 21, 2016
Jonathan A. Schneider, DO
Jonathan A. Schneider, DO

The teen presents for an annual physical. You note asymmetric papular lesions that cover his trunk. What is your diagnosis?

The images in Figure 1 above are of the anterior and posterior trunk of 16-year-old male who visits his primary care physician for an annual physical. His trunk is scattered with numerous asymmetric papular lesions with indistinct borders and variegated color; many are >6mm in diameter. Close-ups of several areas shown in Figure 2, at right.

What is your diagnosis?