Cockade naevus (syn. Naevus en cocarde)

LAST UPDATED: Oct 09, 2025

Introduction

A rare melanocytic naevus first described by Mehregan and King in 1972. The lesion is named because of its resemblance to a rosette. 

This chapter is set out as follows:


History

  • Age of presentation - mainly arise in young patients

Clinical findings

Distribution

  • Lesions can be single or multiple
  • Most commonly found on the trunk and scalp of fair-skinned individuals, especially children

Morphology

  • Well-organised with central hyperpigmentation surrounded by concentric circles of lighter and darker pigmentation giving the lesion a rosette-like appearance
  • Usually remain unchanged although the outer rim may fade

Clinical Images

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Management

  • Lesions are benign - treatment is not required

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