Instead, the most frequent pattern that we described, and defined for the first time to our knowledge, was the ringlike pattern. It was characterized by multiple round to oval structures, white to tan, with dark brown well-defined regular borders, arranged in a grapelike manner in some areas. This pattern lacked any pigmented structure typical of melanocytic lesions, such as pigment network, dots or globules, streaks, and a blue-whitish veil. The structureless and globularlike patterns were observed in the same percentage of lesions. The first pattern, as reported by other researchers, was characterized by a diffuse dark brown to blue-gray pigmentation, whereas the second pattern featured aggregated structures, round to oval and tan to dark brown. Neither of them could rule out the diagnosis of melanocytic lesion. In addition, the blue-gray pigmentation, featuring the first pattern, increased the suspicion index because, in dermoscopy, the blue hue is known to be related to malignancy.15,18,19 The parallel pattern, observed in VM and in labial melanosis by Argenziano et al15 and in clinically typical, small melanotic macules of the lip and of the penis by Mannone et al,14 may be considered typical of melanosis, although it is commonly found in melanocytic lesions at specific anatomical sites (ie, the palms and soles).