Rosacea with severe ophthalmic involvement and blindness - a rare occurrence.

The treatment of choice for a solitary Spitz nevus is complete excision in order to evaluate the entire lesion for atypical features. Complete excision is not an option for EDSN due to the large number of lesions and potential for significant morbidity. Of the cases reported, several treatment options have been tried, including liquid nitrogen, electrocoagulation, and imiquimod. However, these options were not successful. In addition, there have been no reports of malignant transformation of any of the lesions in the reported cases of EDSN, therefore observation is an acceptable treatment option. It is important, however, to recognize this as a clinical entity to avoid misdiagnosis and unnecessary treatments.