Naevus lipomatosus superficialis pathology

Authors: Assoc Prof Patrick Emanuel, Dermatopathologist, Auckland, New Zealand, 2013.

Naevus lipomatosus superficialis is a rare lesion. It is regarded as a connective tissue naevus by most authorities. It can occur as either a single dermal papule or as a cluster of multiple papules and nodules.

Histology of naevus lipomatosus superficialis

Sections of naevus lipomatosus superficialis show mature adipose tissue within the superficial and mid dermis (figure 1). There are frequently foci of fibrosis intermixed with the fat (figure 2).

Special studies for naevus lipomatosus superficialis

None are needed.

Differential diagnosis of naevus lipomatosus superficialis

Fibrolipoma – Solitary naevus lipomatosus superficialis is histologically identical to fibrolipoma.

Normal fat – Unremarkable adipose tissue is not seen in the superficial dermis of normal skin.

Related information

Email Newsletter

Would you like to receive our dermatology updates by email?


Submit your images

We're seeking high-quality photos of skin diseases.  


Machine diagnosis

Watch DermNet's proposal to create a 'Skin Disease Image Recognition Tool' - winner of the 2017 'Clinicians' Challenge Active Award' by the NZ Ministry of Health and HiNZ.

Subscribe to our mailing list

* indicates required
DermNet NZ Newsletter