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We report three extra cases of acral AAN to further analyze the differential things between ALM. Medical photos, including those of dermoscopy, of three instances of acral AAN had been assessed. The lesions were located on the only or horizontal border regarding the foot. All acral AAN had been level and large in dimensions (20 mm in greatest measurement), and connected with asymmetry and unusual border. Nevertheless, no synchronous ridge pattern recommending ALM had been s