LAUSR

A 3-year-old male patient presented with dark brown pigmented macules on his penis. His history was notable for circumcision operation 2 months before his referral to our clinic. Circumcision was performed for religious reasons. One month after this operation, his parents noticed the lesion. The dermatological examination of the patient revealed two opposing pigmented lesions on each side of the coronal sulcus. There was also a dark brown, well-circumscribed macule, 7 mm in diameter, on the left ventral aspect of the glans penis, and a 4-mm dark brown macule on the inner foreskin on the opposite side (Fig. 1). A dermoscopic evaluation revealed that both lesions had similar properties, with irregularly scattered pigmented globules of varying size on a pigmented area with a pale center and a dark periphery (Fig. 2). Since the lesion contained irregularly scattered globules, the macule on the prepuce was totally excised. The histopathological examination of the lesions showed nests of nevus cells in the dermo epidermal junction and upper dermis (Fig. 3). No cytological atypia was detected in the nevus cells. The diagnosis of “divided nevus” was made, and the patient was placed under a regular follow-up regime.