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Bluish or gray to black appearance Usually small papule Common sites include dorsum of foot, wrist, and head Usually oval-shaped lesion in reticular dermis Composed of slender fusiform and dendritic melanocytes, usually heavily pigmented with associated melanophages Stromal fibrosis is common Periadnexal growth is common Nerve involvement may be seen The sclerosing BN is characterized by prominent stromal fibrosis