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Increased melanin activity may also encourage abnormal skin cell changes in response to UV exposure

Lesions with a typical history and appearance do not require a biopsy

[6] : 690 Giant congenital melanocytic nevus (also known as "bathing trunk nevus," "garment nevus," "giant hairy nevus", and "nevus pigmentosus et pilosus") is defined by one or more large, darkly pigmented and sometimes hairy patches