What's Your Assessment?
A 23-year-old female with Type I skin presented to the dermatology office for a "mole check." During the physical examination, she was noted to have several bluish lesions scattered on the neck, right shoulder, left buttock, trunk, right arm, and base of the right thumb. In addition, a well-healed widened surgical scar was present on the trunk just superior to a solitary blue lesion (see Figures 1-5). When questioned regarding the scar, the patient stated that as a child "she had a biopsy of one of the blue growths, which was benign" and no further treatment was recommended or ensued. She has a brother and sister with similar lesions who have not been to the dermatologist. Other than her fair skin, risk for sunburn, and history of "multiple moles" the patient reported no medical, surgical, or dermatological problems.


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Blue rubber bleb nevus syndrome: Thumb


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Blue rubber bleb nevus syndrome: Close-up


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Blue rubber bleb nevus syndrome: Arm


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Blue rubber bleb nevus syndrome: Breast


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Blue rubber bleb nevus syndrome: Scar