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A case of congenital malignant melanoma on a giant congenital melanocytic nevus is reported. The baby girl also presented multiple hyperkeratotic and ulcerated cutaneous metastatic nodules. A total body CT scan showed metastases in almost every organ. She died at three months of age (Presented in the International Congress of Neonatal Dermatology, Bari, Italy, September 24-27, 1998).