Pop Quiz #154

The correct answer is B. Spitz nevus. 

The image shows a Spitz nevus (see image Figure 3.5.3 in DIR). A classic starburst pattern can be seen under dermoscopy for this melanocytic lesion.

The rest of the answers do not usually present with a classic “starburst” finding on dermoscopy.

References: Pediatric Dermatology 3.5 Cutaneous Tumors and Tumor Syndromes DIR Review book page 195