Abstract
We present a case of a 7-year-old girl with a congenital melanocytic nevus exhibiting a unique follicular pigmentation pattern. The lesion was present since birth and was largely asymptomatic. Regular dermatological follow-ups and patient education on self-screening and sun protection were recommended. This case highlights the wide-ranging morphological appearance of congenital melanocytic nevus and underscores the recommendations of monitoring for potential malignancy and addressing psychosocial impacts.