scholarly journals The Update on Dermoscopic Signs in General Dermatology Practice –A Review article

2018 ◽  
Vol 5 (2) ◽  
pp. 3537-3541
Author(s):  
Rahul Kumar Sharma
Keyword(s):  
Lichen Planus ◽  
Lupus Erythematosus ◽  
Skin Diseases ◽  
Review Article ◽  
Small Vessel Vasculitis ◽  
Discoid Lupus Erythematosus ◽  
Seborrheic Keratosis ◽  
Prurigo Nodularis ◽  
Non Invasive ◽  
Nevus Sebaceous

Dermoscopy is a helpful non invasive bedside technique in clinical dermatology practice which allows us to make a quick and accurate diagnosis of many complicated and atypical skin diseases. Hence its acquaintance is imperative for all the dermatologists. The aim of this article is to make the science of dermoscopy lucid and easy. This article is intended to highlight the common signs in dermoscopy which will foster the usage of dermatoscope in regular cutaneous examination. The conditions discussed in this review article are psoriasis vulgaris, lichen planus, lichen planus pigmentosus, vitiligo, pityriasis versicolor, eczema, pityriasis rosea, melasma seborrheic keratosis, discoid lupus erythematosus ,prurigo nodularis, lupus vulgaris, alopecia areata , nevus sebaceous, dermatofibroma, pigmented purpuric dermatosis and cutaneous small vessel vasculitis.

ROLE OF DERMATOSCOPY IN CHRONIC DERMATOSES DIAGNOSIS

2020 ◽  
pp. 53-56
Author(s):  
G. S. Chekhovska
Keyword(s):  
Differential Diagnosis ◽  
Lupus Erythematosus ◽  
Skin Diseases ◽  
Seborrheic Dermatitis ◽  
Hair Follicles ◽  
Discoid Lupus Erythematosus ◽  
Non Invasive ◽  
Invasive Method ◽  
Vascular Structures

Dermatoscopy is a valuable auxiliary non−invasive method used in the diagnosis of inflammatory, parasitic and viral skin diseases. Treatment of dermatoses is based on the results of analysis of melanin, follicular−horny and vascular components. Diagnosis begins with polarized dermatoscopy and then progresses to non−polarized using immersion fluid. At dermatoscopic inspection of a psoriatic plaque the point vessels evenly distributed along all the surface (a symptom of "scattered red pepper") are noted. Eczema is characterized by focal accumulation of blood vessels in the form of dots, peeling, yellowish crusts. Examination of discoid lupus erythematosus foci often reveals individual linear or branched vessels, their location is random. Red herpes zoster is dermatoscopically characterized by vascular structures in the form of large granular horny plugs of whitish color with a pearly sheen. The most informative is dermatoscopy in the differential diagnosis of erythematous form of rosacea and seborrheic dermatitis. On the erythematous background, dilated vessels around the sebaceous hair follicles, large vascular polygons formed from vessels thicker than in healthy skin and seborrheic dermatitis are found. At inspection of the fresh centers of a sclero−atrophic lichen diffuse unstructured zones of white color with a peripheral erythematous corolla and with numerous light comedic structures on a surface are visualized. At dermatoscopy of the Little − Lassueur syndrome in follicular papules on skin gray, violet points located in the form of a circle are noted. Dermatoscopy is increasingly used in dermatology, especially in the differential diagnosis of dermatoses of inflammatory and parasitic nature.

Evaluation of the profile of the immune cell infiltrate in lichen planus, discoid lupus erythematosus, and chronic dermatitis

Pathology ◽  
2008 ◽  
Vol 40 (7) ◽  
pp. 682-693 ◽  
Author(s):  
Mahmoud-Rezk A. Hussein ◽  
Noha M. Aboulhagag ◽  
Hesham S. Atta ◽  
Saad M. Atta
Keyword(s):  
Lichen Planus ◽  
Lupus Erythematosus ◽  
Immune Cell ◽  
Discoid Lupus Erythematosus ◽  
Cell Infiltrate ◽  
Immune Cell Infiltrate

scholarly journals Focal alopecia in parietal area in adult women — assessment of usefulness of trichoscopy in making a proper diagnosis

2020 ◽  
Vol 3 (2) ◽  
pp. 86-96
Author(s):  
Dominik Mikiel ◽  
Adriana Polańska ◽  
Aleksandra Dańczak‑Pazdrowska ◽  
Ryszard Żaba ◽  
Zygmunt Adamski
Keyword(s):  
Hair Loss ◽  
Lupus Erythematosus ◽  
Diagnostic Method ◽  
Skin Surface ◽  
Control Group ◽  
Discoid Lupus Erythematosus ◽  
Adult Women ◽  
Lichen Planopilaris ◽  
Non Invasive ◽  
Parietal Area

Introduction. Focal alopecia in the parietal area is one of the types of hair loss that can be found in dermatological practice. Trichoscopy is a non-invasive and easily accessible diagnostic method widely used in scalp disorders.Aim. The aim of this study was to assess the usefulness of trichoscopy in the non-invasive diagnosis of focal hair loss in adult women.Material and Methods. The study included 40 adult women. The study group consisted of 30 patients including 10 patients with alopecia areata (AA), 10 patients with discoid lupus erythematosus (DLE) and 10 with classical form of lichen planopilaris (LPP). The control group consisted of 10 healthy volunteers. Four groups of structures observed in trichoscopic examination were evaluated: hair follicle openings, hair shafts, vessels, perifollicular and interfollicular skin surface. Results. Among patients with AA the most frequently observed trichoscopic structures were: yellow dots in 100% (10/10), broken hairs in 90% (9/10), hairs resembling exclamation marks in 90% (9/10). DLE patients most often presented white / white-pink structureless areas and prominent, interfollicular scaling in 100% (10/10) and 90% (9/10) of cases, respectively. On the other hand, in the group of patients with LPP, the most frequent findings were: fine perifollicular scaling in 100% (10/10) and linear, slightly branched vessels arranged concentrically around the follicular openings - both features observed also in 100% (10/10) of cases.Conclusion. Trichoscopy as a non-invasive diagnostic method may be helpful in differentiating non-scarring and scarring alopecia in the parietal area in women. Moreover, there are some trichoscopic features typical for AA, DLE and LPP, which allow for differentiation and facilitate the diagnosis of these entities.

scholarly journals Successional occurrence of two papulosquamous disorders in HIV positive patient: a rare case report

2021 ◽  
Vol 7 (6) ◽  
pp. 869
Author(s):  
Nitika Sanjay Deshmukh ◽  
Ravindranath Brahmadeo Chavan ◽  
Anil Prakash Gosavi ◽  
Supriya Ashok Kachare
Keyword(s):  
Case Report ◽  
Lichen Planus ◽  
Lupus Erythematosus ◽  
Rare Condition ◽  
Discoid Lupus Erythematosus ◽  
Rare Presentation ◽  
Rare Case Report ◽  
Autoimmune Conditions ◽  
Atypical Presentations ◽  
High Index Of Suspicion

<p class="abstract">Presentation of two papulosquamous disorders in a same individual is rare condition till date. Independently, psoriasis and Lichen planus (LP) are common inflammatory skin conditions affecting around 2-3% and 1% of HIV (Human immune deficiency) positive population respectively. As reviewed in the literature, psoriasis may be independently associated with other autoimmune conditions like vitiligo, alopecia areata, lichen planus, and discoid lupus erythematosus. In this article, we presented a case report of a HIV seropositive patient who suffered from psoriasis and lichen planus. The coexistence of psoriasis and lichen planus in one individual is rare and underreported in literature. Psoriasis or lichen planus may be the presenting feature of HIV infection and tends to be more severe, to have atypical presentations. Psoriasis and lichen planus can be coexistent or successionally appear one after other in one individual though rare presentation. High index of suspicion is always required while dealing with papulosquamous lesions in PLHIV.</p><p> </p>

scholarly journals Immune-enhancing agents in autoimmune skin diseases – A review

2022 ◽  
Vol 0 ◽  
pp. 1-8
Author(s):  
Abel Francis ◽  
Anjali Rose Jose
Keyword(s):  
Lupus Erythematosus ◽  
Skin Diseases ◽  
Immunosuppressive Drugs ◽  
Squaric Acid ◽  
Discoid Lupus Erythematosus ◽  
Autoimmune Conditions ◽  
Life Threatening ◽  
Autoimmune Dermatoses ◽  
Dibutyl Ester ◽  
Systemic Agents

Immunosuppressive drugs are the main stay of treatment for autoimmune dermatoses. The main disadvantage of these drugs is the increased susceptibility to life-threatening infections. Hence, in recent years, there has been an enthusiastic search for newer groups of drugs that can reduce this risk. Immune enhancing agents are considered as the key players of future. Immune enhancers function by activating various elements of the immune system and thereby amplifying the immune responses. They can be specific or non-specific in action. The main autoimmune dermatoses where the benefits of these drugs have so far been utilized include alopecia areata, vitiligo, psoriasis, lichen planus, and discoid lupus erythematosus. Immunostimulants are available in both topical and systemic forms. Topical immune- enhancing agents include contact sensitizers (diphenylcyclopropenone, dinitrochlorobenzene, and squaric acid dibutyl ester), anthralin, topical zinc, and interferons. Systemic agents include levamisole, zinc, probiotics, and so on. The exact mechanism of action of some of these drugs and other autoimmune conditions where they can be benefited is not completely understood. Another therapeutic agent that may come up in the future is individualized vaccines. Let us look forward to the days when individualized vaccines work wonders in the management of autoimmune diseases.

Lichen Planus Pigmentosus and Frontal Fibrosing Alopecia Mimicking Discoid Lupus Erythematosus

2019 ◽  
Vol 71 (3) ◽  
pp. 478-478 ◽  
Author(s):  
Carolyn J. Kushner ◽  
Josef Symon S. Concha ◽  
David R. Pearson ◽  
Victoria P. Werth
Keyword(s):  
Lichen Planus ◽  
Lupus Erythematosus ◽  
Discoid Lupus Erythematosus
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