{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T16:07:05Z","timestamp":1779466025079,"version":"3.53.1"},"reference-count":15,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,5,6]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>Pigmented spitz nevus is a rare benign melanocytic lesion that may clinically mimic malignant melanoma, particularly when occurring at unusual sites such as the genitalia.<\/jats:p>\n                  <jats:p>We report a case of a child presenting with congenital phimosis associated with blackish discolouration of the foreskin. Circumcision was performed and histopathological examination of the excised foreskin revealed a pigmented spitz nevus, a rare benign melanocytic lesion. This case highlights the importance of careful evaluation of pigmented lesions of the foreskin and the role of histopathology in establishing a definitive diagnosis.<\/jats:p>","DOI":"10.1136\/bcr-2025-271893","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T15:40:26Z","timestamp":1779464426000},"page":"e271893","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Congenital phimosis with foreskin discoloration revealing pigmented spitz nevus"],"prefix":"10.1136","volume":"19","author":[{"given":"Imran","family":"Thariq Ajmal","sequence":"first","affiliation":[{"name":"Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felix","family":"Anand","sequence":"additional","affiliation":[{"name":"General Surgery, Chettinad Academy of Research and Education, Kanchipuram, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9206-6708","authenticated-orcid":false,"given":"Pravali","family":"P","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahadevan","family":"Andiyappan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4739-1056","authenticated-orcid":false,"given":"Venkiteswaran","family":"Muralidhar","sequence":"additional","affiliation":[{"name":"General Surgery, Sri Venkateshwaraa Medical College Hospital & Research Centre, Chennai, 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