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remainder appear at puberty Pathogenesis • Histology: melanocytes widely scattered in reticular dermis with melanosomes singly dispersed and fully melanized Diagnosis • Clinical presentation Differential diagnosis • Congenital nevocellular nevus • Mongolian spot Treatment • Q-switched ruby laser – may require multiple treatments • Cosmetic camouflage Prognosis • Tends to enlarge and darken with time • Very rarely, melanoma arises within the lesion • Glaucoma arises in 10% References Fulk CS