Dermoscopic Features of Blue Rubber Bleb Nevus Syndrome

Blue rubber bleb nevus syndrome (BRBNS) usually has a sporadic onset. It is characterized as blue to purple, soft, rubbery, compressible nodules over any region in the skin or mucous membrane. It may be complicated by acute hemorrhage, iron deficiency anemia, bowel infarction, skeletal bowing, pathologic fracture, etc., Here, we present the case of a 9-year-old boy who presented with a complaint of multiple reddish to bluish nontender nodules over the tongue, chest, neck, abdomen, back, B/L upper limb, scrotum, and B/L lower limb including sole. Dermoscopic examination demonstrated red–purple globules with verrucous surface with lacunae separated by a white linear structure corresponding to fibrous demarcations. With the help of dermoscopic and clinical examination, the patient was diagnosed as having BRBNS.