scholarly journals Dermoscopic Features of Facial Pigmented Skin Lesions

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Yana Goncharova ◽  
Enas A. S. Attia ◽  
Khawla Souid ◽  
Inna V. Vasilenko
Keyword(s):  
Retrospective Analysis ◽  
Actinic Keratosis ◽  
Skin Lesions ◽  
Vascular Pattern ◽  
Lentigo Maligna ◽  
Diagnostic Challenge ◽  
Seborrheic Keratosis ◽  
Solar Lentigo ◽  
Pigmented Skin Lesions ◽  
Pigmented Actinic Keratosis

Four types of facial pigmented skin lesions (FPSLs) constitute diagnostic challenge to dermatologists; early seborrheic keratosis (SK), pigmented actinic keratosis (AK), lentigo maligna (LM), and solar lentigo (SL). A retrospective analysis of dermoscopic images of histopathologically diagnosed clinically-challenging 64 flat FPSLs was conducted to establish the dermoscopic findings corresponding to each of SK, pigmented AK, LM, and SL. Four main dermoscopic features were evaluated: sharp demarcation, pigment pattern, follicular/epidermal pattern, and vascular pattern. In SK, the most specific dermoscopic features are follicular/epidermal pattern (cerebriform pattern; 100% of lesions, milia-like cysts; 50%, and comedo-like openings; 37.50%), and sharp demarcation (54.17%). AK and LM showed a composite characteristic pattern named “strawberry pattern” in 41.18% and 25% of lesions respectively, characterized by a background erythema and red pseudo-network, associated with prominent follicular openings surrounded by a white halo. However, in LM “strawberry pattern” is widely covered by psewdonetwork (87.5%), homogenous structureless pigmentation (75%) and other vascular patterns. In SL, structureless homogenous pigmentation was recognized in all lesions (100%). From the above mentioned data, we developed an algorithm to guide in dermoscopic features of FPSLs.

scholarly journals Dermatoses in parkinsonism: the importance of multidisciplinary follow-up

2019 ◽  
Vol 65 (6) ◽  
pp. 791-795 ◽  
Author(s):  
Isadora Antunes ◽  
Kátia Sheylla Malta Purim ◽  
Luara Leticia Grande ◽  
Nathália Cristina Alberton ◽  
Tatiana Francinne Regis Navarro ◽  
...  
Keyword(s):  
Actinic Keratosis ◽  
Seborrheic Dermatitis ◽  
Skin Lesions ◽  
Disease Diagnosis ◽  
Seborrheic Keratosis ◽  
Cross Sectional ◽  
Inflammatory Dermatoses ◽  
Malignant Skin ◽  
Pigmented Nevus

Summary Parkinsonism is characterized by bradykinesia with rigidity and/or resting tremor, in addition to non-motor symptoms, which include dermatological manifestations. The objective of this study is to evaluate the main dermatoses in patients with parkinsonism found at the Philanthropic Association of Curitiba - PR. A cross-sectional descriptive study was carried out with the application of a questionnaire and dermatological evaluation of the patients. The sample consisted of 386 patients and was composed mainly by men (55.4%), between 60-74 years old (51.6%), with complete primary education (45.3%), disease diagnosis time between 5-10 years (35%) and in use of medication (96.6%). The most prevalent dermatoses were pigmented nevus (36.3%), warts (25.1%), actinic keratosis (22%), seborrheic keratosis (21.5%), seborrheic dermatitis (20.5%), and rosacea (19.2%). Among the 13 cases (3.4%) of malignant cutaneous neoplasms confirmed by biopsy, 2 were melanomas. Regarding patients’ sex, there was a higher prevalence of inflammatory dermatoses (OR 1.64, 95% CI 1.08-2.51, p = 0.025) and benign cutaneous neoplasms (OR 1.77, 95% CI 1.16-2.69, p = 0.01) in men. As to age, patients aged between 60-74 years had more pre-malignant skin lesions (OR 2.60, 95% CI 1.05-6.44, p <0.001) and seborrheic keratosis (OR 2.52, 95% CI 1.02-6.25, p = 0.001) and, in those older than 75 years, actinic keratosis was more frequent (OR 5.43, 95% CI 2.17-13.6, p <0.001). The results of the study show that it is fundamental to dermatologically evaluate and monitor these patients, aiming at diagnosis and early treatment of lesions, especially of skin cancer.

Dermoscopic clues to differentiate facial lentigo maligna from pigmented actinic keratosis

2016 ◽  
Vol 174 (5) ◽  
pp. 1079-1085 ◽  
Author(s):  
A. Lallas ◽  
P. Tschandl ◽  
A. Kyrgidis ◽  
W. Stolz ◽  
H. Rabinovitz ◽  
...  
Keyword(s):  
Actinic Keratosis ◽  
Lentigo Maligna ◽  
Pigmented Actinic Keratosis

scholarly journals Dermoscopic Features of Pigmented Bowen's Disease in a Japanese Female Mimicking Malignant Melanoma

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Takayuki Inoue ◽  
Ken Kobayashi ◽  
Mizuki Sawada ◽  
Sumiko Ishizaki ◽  
Haruo Ito ◽  
...  
Keyword(s):  
Malignant Melanoma ◽  
Skin Lesions ◽  
Japanese Woman ◽  
Bowen’S Disease ◽  
Seborrheic Keratosis ◽  
Bowen's Disease ◽  
Pathologic Features ◽  
Old Japanese ◽  
History Of ◽  
Pigmented Skin Lesions

Various structures have been reported for dermoscopic features of pigmented Bowen's disease (BD), which could be a mimic of various pigmented skin lesions. A 79-year-old Japanese woman presented with a 3-year history of brown-black macule on her right upper arm without symptom. Dermoscopic examination demonstrated irregular flossy streaks, irregular brown dots/globules, blue-whitish regression structures, and overlaying whitish scaly areas. We suspected pigmented skin lesions including seborrheic keratosis, pigmented eccrine poroma, and malignant melanoma and excised completely with a 5 mm margin. Histopathological features were consistent with a diagnosis of pigmented BD. Although similar dermoscopic features might be revealed in pigmented skin lesions and it may occasionally be difficult to distinguish between pigmented BD and other pigmented skin lesions, dermoscopy would be useful in speculating pathologic features of pigmented BD.

scholarly journals Evolving eponymous signs in diagnostic dermoscopy

2021 ◽  
Vol 7 (2) ◽  
pp. 98-106
Author(s):  
Shashank Bhargava ◽  
Atul Bothra ◽  
Seujee Das ◽  
Anshu Maheswari ◽  
Mehak Singh
Keyword(s):  
Basal Cell Carcinoma ◽  
Early Diagnosis ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Skin Lesions ◽  
Skin Melanoma ◽  
Blue Nevus ◽  
Seborrheic Keratosis ◽  
Pigmented Skin Lesions ◽  
Clinical Dermatology

Dermoscopy is a very useful technique devised for an earlier diagnosis of skin melanoma with a clinic-pathological correlation. Later it was found to be beneficial for the diagnosis of many other pigmented skin lesions, such as seborrheic keratosis, pigmented basal cell carcinoma, hemangioma, blue nevus, atypical nevus, and mole, which can often clinically simulate melanoma. Of late, its use in general clinical dermatology is growing with the recognition of new and specific patterns in conditions such as hair disorders, inflammatory disorders, and infections/infestation. It is still in the evolving phase and many new signs are described presently. Eponyms are used almost daily in dermatology practice. The eponyms in dermoscopy, trichoscopy, and onychoscopy are based on the imaginative capability of the authors and they have been very much successful in describing them. It becomes easier to memorize and identify the various appearances for early diagnosis and management. In this article we attempt to highlight the various dermoscopic signs described in dermatology.

A new dermoscopic algorithm for the differential diagnosis of facial lentigo maligna and pigmented actinic keratosis

2018 ◽  
Vol 28 (2) ◽  
pp. 162-168 ◽  
Author(s):  
Tamara Micantonio ◽  
Luca Neri ◽  
Caterina Longo ◽  
Simone Grassi ◽  
Alessandro Di Stefani ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Actinic Keratosis ◽  
Lentigo Maligna ◽  
Pigmented Actinic Keratosis

scholarly journals Dermatoscopy of Facial Non-Pigmented Actinic Keratosis and Intraepidermal Carcinoma

2021 ◽  
Author(s):  
Alise Balcere
Keyword(s):  
Squamous Cell Carcinoma ◽  
Basal Cell Carcinoma ◽  
Diagnostic Accuracy ◽  
Cell Carcinoma ◽  
Actinic Keratosis ◽  
Skin Lesions ◽  
Hair Follicles ◽  
Invasive Squamous Cell Carcinoma ◽  
Surrounding Skin ◽  
Pigmented Actinic Keratosis

Dermatoscopy improves the diagnostic accuracy of non-pigmented facial lesions, including actinic keratosis (AK) and intraepidermal carcinoma (IEC) and helps to differentiate them from common invasive malignancies such as basal cell carcinoma and invasive squamous cell carcinoma. The most common dermatoscopic features characterizing AK are background erythema/erythematous pseudonetwork, white follicular openings/targetoid hair follicles, surface scales, rosettes, fine, linear, wavy vessels, microerosions and sun-damaged surrounding skin. In comparison, the most common dermatoscopic features of IEC are background erythema, red starburst pattern, surface scale, dotted/glomerular vessels, hairpin vessels, microerosions/ulcerations and targetoid hair follicles. The practice of recognizing these features in dermatoscopic images is a useful tool in the armamentarium of a clinician examining skin lesions.

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