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Dermoscopy

Dermoscopy Blue-Whitish Veil

The blue-whitish veil is found in malignant melanomas and Spitz nevi. There is a indistinct, transparent, confluent, gray-blue-whitish, diffuse pigmentation that may extend over much of the lesion. The white color results from an acanthotic epidermis with compact orthokeratosis and hypergranulosis. The blue color occurs from large melanin-containing areas such as confluent nests of heavily pigmented melanocytes in the upper dermis.