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An irregular dark freckle-like lesion Dermoscopy is particularly useful in evaluating pigmented lesions which may be camouflaged by the mottled pores and skin associated with chronic sun harm and ageing. Case presentation Over an eight-month period, a 63-year-old man developed an irregular 1 cm size freckle-like lesion bounded asymmetrically by a white patch on his spine . The encompassing skin had extensive evidence and freckling of chronic sun damage. Dermoscopy revealed a pigmented lesion with a markedly irregular pigment network in a broken and coarse design. The network merged with the surrounding mottled sun-damaged skin . Excision biopsy showed an epidermis with confluent proliferation of hyperchromatic little melanocytes, and in nests singly, along the junctional area .