“…Epidermal naevi (EN) are benign congenital hamartomas that result from post-zygotic mutations and comprise organoid and non-organoid (keratinocytic) types. [ 1 ] We report an unusual organoid naevus that has so far, to our knowledge, not being recognized as a distinct entity. We propose the term ‘naevus spinofiliformis’ for this novel presentation with multiple spinous projections and filiform hyperkeratotic lesions.…”