Eclipse and targetoid nevi

Abstract

Eclipse nevus and targetoid nevus are benign variants of melanocytic lesions that may appear on the scalp, mimicking melanoma due to their clinical appearance. This report describes two pediatric cases: a boy with an eclipse nevus (light center with a pigmented rim) and a girl with a targetoid—or cockade—nevus (a “cockade-like” lesion with a dark center and hyperpigmented borders). Both showed typical dermoscopic patterns without signs of malignancy. Recognizing these entities is essential to avoid unnecessary biopsies or surgical procedures that may result in alopecic scarring. Regular clinical observation is recommended, particularly in children, as these lesions do not require intervention unless suspicious changes occur.