Case presentation Over a three-month period, a 45-year-old girl noted progressive darkening of a longstanding mole, measuring 6 mm in size, on the dorsum of her best foot . Dermoscopy demonstrated an asymmetrical mole with an irregular pigment network with regional variation in strength. A darkly pigmented branched element with globules and dots was at the heart of the mole . Excision biopsy demonstrated nests of atypical melanocytes within the epidermis and upper dermis, which were obscured by a marked lymphocytic response. The top of skin had selections of crimson cells, melanocytes and melanin pigment between keratin filaments .. A mole with central dark branches Melanomas that arise in pre-existing moles may initially alter the pigment network within the central region and spare the borders.They conclude, While more programs, policies and science are still had a need to address GBV in MARPs, momentum is definitely building to fill up existing gaps. By capitalizing on PEPFAR’s existing platforms, proven interventions for HIV prevention among MARPs, and the number of companions supporting this work, we can continue to make progress that may bring us closer to the goal of an AIDS-free generation . This article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research business unaffiliated with Kaiser Permanente..