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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

BLUE SPOTS
81
Schneiderman page 1-100.qxd 5/16/2006 6:49 PM Page 81


Eccrine poroma – blue–black pedunculated tumor of chin 
BJD
152:1070–1072, 2005
Eccrine spiradenoma – solitary, painful, blue nodule of anterior
trunk and proximal extremities
Dermatol Surg 26:877–882,
2000; JAAD 2:59–61, 1980
Embryonal rhabdomyosarcoma – blueberry muffin baby
AD 138:689–694, 2002
Cutaneous endometriosis 
J Cutan Pathol 13:89, 1986
Epidermoid cyst 
JAAD 52:921–922, 2005; Rook p.1667, 1998,
Sixth Edition
Eruptive vellus hair cysts 
AD 131:341–6, 1995; AD
124:1101–1106, 1988; JAAD 3:425–429, 1980
Extraosseous Ewing’s sarcoma – red–blue congenital sacral
mass 
Soc Ped Derm Annual Meeting, July 2005
Fibrous histiocytoma
Generalized eruptive histiocytoma – hundreds of skin-colored,
brown, blue–red papules; resolve with macular pigmentation;
face, trunk, proximal extremities 
JAAD 20:958–964, 1989;
JAAD 17:499–454, 1987; AD 117:216–221, 1981; AD
116:565–567, 1980; Proc R Soc Med 56:1175–1178, 1973;
AD 96:11–17, 1967
Hamartoma of neural origin (blue blebs) 
JAAD 13:1046–1047,
1985
Hidrocystoma – eccrine or apocrine; eyelid cyst 
Eyelid and
Conjunctival Tumors, Shields JA and Shields CL, Lippincott
Williams and Wilkins p.153–155, 1999
Histiocytic lymphoma (reticulum cell sarcoma) – blue–red
nodules 
Am J Dermatopathol 14:511–517, 1992; Cancer
62:1970–1980, 1988
Kaposi’s sarcoma 
Tyring p.227, 2002; Rook p.1063,2358–2360,
1998, Sixth Edition; JAAD 38:143–175, 1998; Dermatology
190:324–326, 1995; intraoral bluish macule or nodule JAAD
41:860–862, 1999; Rook p.1063, 1998, Sixth Edition; JAAD
38:143–175, 1998; Dermatology 190:324–326, 1995
Leiomyoma
Leiomyosarcoma – blue–black nodule 
JAAD 48:S51–53, 2003;
J Cutan Pathol 15:129–141, 1988; Pathol Eur 9:307–315, 1974;
red, brown, yellow or hypopigmented 
JAAD 46:477–490, 2002
Leukemia cutis – chloroma – blue–gray plaques of acute or
chronic myelogenous leukemia
AD 123:251–256, 1987; AD
71:605–614, 1955; congenital monoblastic leukemia JAAD
21:347–351, 1989
Lymphangiosarcoma (Stewart–Treves tumor) – blue nodules in
lymphedematous extremity 
Arch Surg 94:223–230, 1967;
Cancer 1:64–81, 1948
Lymphoma – cutaneous T-cell lymphoma – blue polka dots
Cutis 34:373–374, 1984; nasal lymphoma – blue nose JAAD
38:310–313, 1998; immunocytoma (low grade B-cell lymphoma) –
blue or reddish-brown papules 
JAAD 44:324–329, 2001;
angiotropic large cell lymphoma – blue plaques of breasts and
shoulders 
JAAD 48:633, 2003; NK/T-cell lymphoma – blue
plaque of thigh 
Soc Ped Derm Annual Meeting, 2005
Malignant deep sclerosing blue nevus – blue plaque 
BJD
151:508–511, 2004
Malignant fibrous histiocytoma (multilobulated nodule) 
Malignant glomus tumor – blue–red mass 
Am J Surg Pathol
20:233–238, 1996
Melanocytic nevus, congenital; combined compound and blue
nevus
Melanoma – primary 
JAAD 20:261–266, 1989; metastatic
melanoma – diffuse melanosis 
JAAD 50:293–298, 2004; JAAD
35:295–297, 1996; primary dermal melanoma AD 140:121–126,
2004; dermal melanosis Arch Dermatol Syphiligr 28:395–403,
1972; slate blue Dermatology 197:338–342, 1998; JAAD
35:295–297, 1996; primary or metastatic melanoma mimicking
blue nevi 
Am J Surg Pathol 23:276–282, 1999; generalized
melanosis due to melanoma in acne scars 
AD 134:861–866,
1998; JAAD 20:261–266, 1989; lentigo maligna; lentigo
maligna melanoma
Merkel cell carcinoma – reddish-blue nodules; legs, lip, eyelid,
scalp, nose 
Histopathology 7:229–249, 1983
Mongolian spots – dermal melanocytosis; congenital, persistent
JAAD 16:788–792, 1987; Clin Pediatr 20:714–719, 1981;
J Dermatol 7:449–450, 1980
Mucinous carcinoma of skin – blue–gray nodule 
JAAD
36:323–326, 1997; of eyelid JAAD 49:941–943, 2003
Mucocele – intraoral blue cyst 
AD 101:673–678, 1970
Multiple pigmented terminal hair cysts 
JAAD 23:1183, 1990
Nasal glioma
Nerve sheath myxoma – blue–black 
Am J Dermatopathol
21:55–62, 1999
Neurilemmoma
Neuroblastoma, cutaneous metastases – blue or blue–gray
papules or nodules – become white when stroked 
Curr Prob
Derm 14:41–70, 2002; AD 133:775–780, 1997; JAAD
30:243–249, 1994; JAAD 26:620–628, 1992; JAAD
24:1025–1027, 1991
Neurocristic hamartoma – verrucous blue plaque of scalp 
JAAD
49:924–929, 2003; pilar neurocristic hamartoma AD
118:592–596, 1982
Neurothekoma, cellular – mimics melanocytic nevi 
Am J Surg
Pathol 14:113–120, 1990
Nevus of Ito (nevus fuscoceruleus acromio-deltoideus) 
Rook
p.1731–1732,3256, 1998, Sixth Edition; Tohoku J Exp Med
60:10–20, 1954; J Exp Med 60:10, 1939
Nevus of Ota (nevus fuscoceruleus ophthalmomaxillaris) 
JAAD
47:S257–259, 2002; Clin Dermatol 7:11–27, 1989; AD
85:195–208, 1962; BJD 67:317–319, 1955; Jpn J Dermatol
46:369–374, 1939
Nevus of Ota-like macules (acquired bilateral nevus of Ota-like
macules) (acquired symmetrical dermal melanocytosis) (Hori’s
nevus) 
BJD 152:903–908, 2005; JAAD 48:584–591, 2003;
JAAD 10:961–964, 1984
Pigmented spindle-cell nevus of Reed 
JAAD 28:565–571, 1993
Pilomatrixoma – papule 
Eyelid and Conjunctival Tumors,
Shields JA and Shields CL, Lippincott Williams and Wilkins
p.71, 1999; Rook p.1700, 1998, Sixth Edition; Pediatr Rev 11
(9):262–267, 1990; Cancer 45:2368–2373, 1980; AD
83:606–618, 1961
Plasmacytoma – extramedullary plasmacytoma – blue nodule
JAAD 19:879–890, 1988; AD 127:69–74, 1991
Ranula – intraoral blue lesion
Salivary duct cyst – intraoral blue lesion
Smooth muscle hamartoma – bluish–brown pigmentation
J Derm Surg 11:714–717, 1985
Spitz nevus 
Cutis 58:35–39, 1996
Steatocystoma 
JAAD 43:396–399, 2000
Trichoepitheliomas (Brooke’s tumor) – multiple – cheeks,
eyelids, nasolabial folds; upper trunk and arms; yellow to
pink, bluish, telangiectasias on surface 
AD 126:953,956, 1990;
J Cutan Pathol 13:111–117, 1986

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