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Cinotti E, Barbarossa L, Cortonesi G, Lamberti A, La Marca F, Tognetti L, Rubegni P, Perrot JL. Non-Invasive Imaging for the Diagnosis of Genital Warts and Their Imitators. J Clin Med 2024; 13:1345. [PMID: 38592196 PMCID: PMC10932056 DOI: 10.3390/jcm13051345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2024] [Revised: 02/07/2024] [Accepted: 02/22/2024] [Indexed: 04/10/2024] Open
Abstract
Genital warts are the most frequent sexually transmitted disease. Their clinical diagnosis is not always easy, and invasive skin biopsies for histological examination should be performed in these cases. The aim of the study was to investigate the use of non-invasive imaging techniques for the diagnosis of genital warts and their imitators. We retrospectively evaluated dermoscopy, reflectance confocal microscopy (RCM), and line-filed confocal microscopy (LC-OCT) images of nine patients with 19 warts of the mucous membranes and five patients with lesions that clinically mimic genital warts, including 12 molluscum contagiosum, 1 Fordyce's spot and one case of multiple acquired lymphangiomas. Most genital warts (15; 79%) showed dilated vessels surrounded by a whitish halo at dermoscopy. RCM and the new device LC-OCT could identify near histologic features such as the presence of hyperkeratosis, acanthosis, papillomatosis and enlarged vessels in all genital warts. However, the identification of koilocytes, which are the hallmark for the diagnosis of warts, was still difficult using both techniques. Non-invasive imaging techniques could also offer clues for the correct diagnosis of the imitators. This study confirmed the usefulness of dermoscopy in recognizing a precise pattern in warts and showed the potential use of RCM and LC-OCT to add additional findings to the clinical and dermoscopic examination.
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Affiliation(s)
- Elisa Cinotti
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Lorenzo Barbarossa
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Giulio Cortonesi
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Arianna Lamberti
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Francesca La Marca
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Linda Tognetti
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Pietro Rubegni
- Dermatology Section, Department of Medical, Surgical, and Neurological Sciences, Santa Maria Alle Scotte Hospital, 53100 Siena, Italy; (E.C.); (G.C.); (A.L.); (F.L.M.); (L.T.); (P.R.)
| | - Jean Luc Perrot
- Department of Dermatology, University Hospital of Saint-Etienne, 42100 Saint-Etienne, France;
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Srivastava P, Srivastava P, Khunger N. Intra-meatal urethral warts: Clinical and dermatoscopic perspectives. Indian J Sex Transm Dis AIDS 2024; 45:85-86. [PMID: 38989089 PMCID: PMC11233065 DOI: 10.4103/ijstd.ijstd_17_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 08/19/2023] [Accepted: 10/13/2023] [Indexed: 07/12/2024] Open
Affiliation(s)
- Prakhar Srivastava
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Prachi Srivastava
- Department of Dermatology and STD, American International Institute of Medical Sciences and GBH Hospital, Udaipur, Rajasthan, India
| | - Niti Khunger
- Department of Dermatology and STD, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
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3
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Yotsu R, Murase C, Fukaura R, Vagamon B, Kawase M. Epidermodysplasia Verruciformis in Fitzpatrick Skin Type VI: New Dermoscopic Findings. Acta Derm Venereol 2023; 103:adv10437. [PMID: 37766659 PMCID: PMC10549761 DOI: 10.2340/actadv.v103.10437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 08/22/2023] [Indexed: 09/29/2023] Open
Abstract
Abstract is missing (Short communication)
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Affiliation(s)
- Rie Yotsu
- Tulane School of Public Health and Tropical Medicine, New Orleans, USA.
| | - Chiaki Murase
- Department of Dermatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
| | - Ryo Fukaura
- Department of Dermatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
| | - Bamba Vagamon
- Department of Dermatology, University of Bouaké, Ivory Coast
| | - Masaaki Kawase
- Department of Dermatology, The Jikei University School of Medicine, Kasushika Medical Center, Jikie, Japan
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Di Bartolomeo L, Borgia F, Pedaci FA, Li Pomi F, Vaccaro M, Filippeschi C, Guarneri F, Oranges T. Dermoscopy features of infantile perianal pyramidal protrusion. Pediatr Dermatol 2023; 40:890-893. [PMID: 36754623 DOI: 10.1111/pde.15270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 01/22/2023] [Indexed: 02/10/2023]
Abstract
Infantile perianal pyramidal protrusion (IPPP) is a benign condition generally noted in childhood but may persist for several years. Dermoscopy may help to distinguish it from other conditions, particularly genital warts. We report six cases of IPPP and describe the dermoscopic features that will distinguish these lesions from verrucae.
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Affiliation(s)
- Luca Di Bartolomeo
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Francesco Borgia
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Fausto Andrea Pedaci
- Department of Health Sciences, Meyer Children's University Hospital, Florence, Italy
| | - Federica Li Pomi
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Mario Vaccaro
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Cesare Filippeschi
- Dermatology Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
| | - Fabrizio Guarneri
- Dermatology Unit, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy
| | - Teresa Oranges
- Dermatology Unit, Department of Pediatrics, Meyer Children's University Hospital, Florence, Italy
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Rodríguez-Cuadrado FJ, Elosua-González M, Roustan-Gullón G, Alfageme-Roldán F. Dermatoscopic features in monkeypox. J Eur Acad Dermatol Venereol 2023; 37:e560-e561. [PMID: 36222743 DOI: 10.1111/jdv.18650] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 10/03/2022] [Indexed: 11/28/2022]
Affiliation(s)
| | - Marta Elosua-González
- Department of Dermatology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain
| | - Gaston Roustan-Gullón
- Department of Dermatology, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain
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Patil S, Borkar M, Pande S, Meshram K, Oke M. Dermoscopic Findings in Clinically Diagnosed Cases of Plantar Warts, Corns, and Calluses: A Cross-Sectional Study. Cureus 2023; 15:e38093. [PMID: 37252501 PMCID: PMC10209916 DOI: 10.7759/cureus.38093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 04/25/2023] [Indexed: 05/31/2023] Open
Abstract
INTRODUCTION With the naked eye, it can frequently be challenging to tell a plantar wart from a corn or callus. A non-invasive diagnostic method called dermoscopy allows for the inspection of morphological features that are not apparent to the unaided eye. This study aimed to examine the dermoscopic findings in pared and unpared cases of palmoplantar warts, corns, and calluses. METHODS Seventy patients who had palmoplantar warts, corns, and calluses were included in this study. A predesigned structured format was used to document the dermoscopic findings. RESULT The majority of patients (51.4%) had warts followed by callus (28.6%) and corn (20%). On dermoscopic examination, all unpared and pared cases of warts had homogenous black/red dots. Translucent central core was present in 92.85% unpared and 100% pared lesions of corns. Homogenous opacity was present in 75% unpared and 100% pared cases of callus. There was no association between unpared and pared lesions (p>0.05). CONCLUSION The accuracy of identifying various clinical types of cutaneous warts, calluses, and corns can be improved by dermoscopy without paring.
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Affiliation(s)
- Sanika Patil
- Department of Dermatology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND
| | - Milind Borkar
- Department of Dermatology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND
| | - Sushil Pande
- Department of Dermatology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND
| | - Kirtee Meshram
- Department of Dermatology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND
| | - Manjiri Oke
- Department of Dermatology, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, IND
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Dermoscopy of Bacterial, Viral, and Fungal Skin Infections: A Systematic Review of the Literature. Dermatol Ther (Heidelb) 2022; 13:51-76. [PMID: 36417086 PMCID: PMC9823193 DOI: 10.1007/s13555-022-00855-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 11/04/2022] [Indexed: 11/24/2022] Open
Abstract
Over the last three decades, the use of dermoscopy has been extended to inflammatory and infectious dermatoses. Regarding the latter, while the first applications concerned skin parasitoses, there has been a significant increase in the publication trend regarding nonparasitic dermatoses over recent years, yet data on this topic are sparse and often lack a standardized analytical approach. This systematic literature review summarizes published data on dermoscopy of bacterial, viral, and fungal dermatoses (dermoscopic findings, used setting, pathological correlation, and level of evidence of studies) and provides a homogeneous terminology of reported dermoscopic features according to a standardized methodology. A total of 152 papers addressing 43 different dermatoses and describing 184 different dermoscopic findings were included in the analysis. The majority of them displayed a level of evidence of V (107 single case reports and 40 case series), with only 5 studies showing a level of evidence of IV (case-control studies). Moreover, our analysis also underlined a high variability in the terminology used in published articles (even for the same dermatosis). Therefore, despite significant potential, future studies designed according to a systematic and standardized approach are required for a better characterization of dermoscopy of nonparasitic skin infections.
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Zhu P, Qi R, Yang Y, Huo W, Zhang Y, He L, Wang G, Xu J, Zhang F, Yang R, Tu P, Ma L, Liu Q, Li Y, Gu H, Cheng B, Chen X, Chen A, Xiao S, Jin H, Zhang J, Li S, Yao Z, Pan W, Yang H, Shen Z, Cheng H, Song P, Fu L, Chen H, Geng S, Zeng K, Wang J, Tao J, Chen Y, Wang X, Gao X. Clinical guideline for the diagnosis and treatment of cutaneous warts (2022). J Evid Based Med 2022; 15:284-301. [PMID: 36117295 PMCID: PMC9825897 DOI: 10.1111/jebm.12494] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 08/26/2022] [Indexed: 01/11/2023]
Abstract
AIM Cutaneous warts caused by human papillomavirus are benign proliferative lesions that occur at any ages in human lives. Updated, comprehensive and systematic evidence-based guidelines to guide clinical practice are urgently needed. METHODS We collaborated with multidisciplinary experts to formulate this guideline based on evidences of already published literature, focusing on 13 clinical questions elected by a panel of experts. We adopted Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to form classification of recommendations as well as the improved Delphi method to retain respective recommendations with a consensus degree of over 80%. RESULTS Our guideline covered aspects of the diagnosis and treatment of cutaneous warts such as diagnostic gold standard, transmission routes, laboratory tests, treatment principle, clinical cure criterion, definitions, and treatments of common warts, flat warts, plantar warts, condyloma acuminatum, and epidermodysplasia verruciformis. Recommendations about special population such as children and pregnant women are also listed. In total, 49 recommendations have been obtained. CONCLUSIONS It is a comprehensive and systematic evidence-based guideline and we hope this guideline could systematically and effectively guide the clinical practice of cutaneous warts and improve the overall levels of medical services.
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Affiliation(s)
- Peiyao Zhu
- Department of DermatologyThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
- NHC Key Laboratory of Immunodermatology, China Medical UniversityHeping DistrictShenyangP.R. China
- Key Laboratory of Immunodermatology, China Medical UniversityMinistry of EducationHeping DistrictShenyangP.R. China
- National and Local Joint Engineering Research Center of Immunodermatological TheranosticsHeping DistrictShenyangP.R. China
| | - Rui‐Qun Qi
- Department of DermatologyThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
- NHC Key Laboratory of Immunodermatology, China Medical UniversityHeping DistrictShenyangP.R. China
- Key Laboratory of Immunodermatology, China Medical UniversityMinistry of EducationHeping DistrictShenyangP.R. China
- National and Local Joint Engineering Research Center of Immunodermatological TheranosticsHeping DistrictShenyangP.R. China
| | - Yang Yang
- Department of DermatologyThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
- NHC Key Laboratory of Immunodermatology, China Medical UniversityHeping DistrictShenyangP.R. China
- Key Laboratory of Immunodermatology, China Medical UniversityMinistry of EducationHeping DistrictShenyangP.R. China
- National and Local Joint Engineering Research Center of Immunodermatological TheranosticsHeping DistrictShenyangP.R. China
| | - Wei Huo
- Department of DermatologyThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
- NHC Key Laboratory of Immunodermatology, China Medical UniversityHeping DistrictShenyangP.R. China
- Key Laboratory of Immunodermatology, China Medical UniversityMinistry of EducationHeping DistrictShenyangP.R. China
- National and Local Joint Engineering Research Center of Immunodermatological TheranosticsHeping DistrictShenyangP.R. China
| | - Yuqing Zhang
- Department of Clinical Epidemiology and Evidence‐Based MedicineThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
| | - Li He
- Department of DermatologyFirst Affiliated Hospital of Kunming Medical UniversityKunmingP.R. China
| | - Gang Wang
- Department of DermatologyXijing HospitalFourth Military Medical UniversityXi'an, ShaanxiP. R. China
| | - Jinhua Xu
- Department of DermatologyHuashan HospitalFudan UniversityShanghaiP.R. China
| | - Furen Zhang
- Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and VenereologyShandong First Medical University & Shandong Academy of Medical SciencesJinanP.R. China
| | - Rongya Yang
- Department of DermatologyGeneral Hospital of Beijing Military Command of PLADongcheng DistrictBeijingP.R. China
| | - Ping Tu
- Department of Dermatology and VenerologyPeking University First HospitalBeijingP.R. China
| | - Lin Ma
- Department of DermatologyBeijing Children's HospitalCapital Medical UniversityNational Center for Children's HealthBeijingP.R. China
| | - Quanzhong Liu
- Department of DermatologyTianjin Medical University General HospitalTianjinP.R. China
| | - Yuzhen Li
- Department of DermatologySecond Affiliated Hospital of Harbin Medical UniversityHarbinP.R. China
| | - Heng Gu
- Institute of DermatologyChinese Academy of Medical Sciences and Peking Union Medical CollegeNanjingP.R. China
| | - Bo Cheng
- Department of DermatologyThe First Affiliated Hospital of Fujian Medical UniversityFuzhouP.R. China
| | - Xiang Chen
- Department of DermatologyXiangya HospitalCentral South UniversityChangshaP.R. China
| | - Aijun Chen
- Department of DermatologyThe First Affiliated Hospital of Chongqing Medical UniversityChongqingP.R. China
| | - Shengxiang Xiao
- Department of DermatologyThe Second Affiliated HospitalSchool of MedicineXi'an Jiaotong UniversityXi'anP.R. China
| | - Hongzhong Jin
- Department of DermatologyPeking Union Medical College HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeDongcheng DistrictBeijingP.R. China
| | - Junling Zhang
- Department of DermatologyTianjin Academy of Traditional Chinese Medicine Affiliated HospitalTianjinP.R. China
| | - Shanshan Li
- Department of DermatologyThe First Hospital of Jilin UniversityChangchunJilin ProvinceP.R. China
| | - Zhirong Yao
- Department of DermatologyXinhua HospitalShanghai Jiao Tong University School of MedicineShanghaiP.R. China
| | - Weihua Pan
- Department of DermatologyShanghai Key Laboratory of Molecular Medical MycologySecond Affiliated Hospital of Naval Medical UniversityShanghaiP.R. China
| | - Huilan Yang
- Department of DermatologyGeneral Hospital of Southern Theatre Command of PLAGuangzhouP.R. China
| | - Zhu Shen
- Department of DermatologyInstitute of Dermatology and VenereologySichuan Academy of Medical Sciences and Sichuan Provincial People's HospitalChengduP.R. China
| | - Hao Cheng
- Department of Dermatology and VenereologySir Run Run Shaw HospitalSchool of MedicineZhejiang UniversityHangzhouP.R. China
| | - Ping Song
- Department of DermatologyGuang'anmen HospitalChina Academy of Chinese Medical SciencesBeijingP.R. China
| | - Lingyu Fu
- Department of Clinical Epidemiology and Evidence‐Based MedicineThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
| | - Hongxiang Chen
- Department of DermatologyUnion HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanP.R. China
| | - Songmei Geng
- Department of DermatologyThe Second Affiliated Hospital of Xi'an Jiaotong UniversityXi'anShaanxiP.R. China
| | - Kang Zeng
- Department of DermatologyNanfang HospitalSouthern Medical UniversityGuangzhouP.R. China
| | - Jianjian Wang
- Evidence‐Based Medicine CenterSchool of Basic Medical SciencesLanzhou UniversityLanzhouP.R. China
| | - Juan Tao
- Department of DermatologyUnion HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhanP.R. China
| | - Yaolong Chen
- Evidence‐Based Medicine CenterSchool of Basic Medical SciencesLanzhou UniversityLanzhouP.R. China
- World Health Organization Collaborating Center for Guideline Implementation and Knowledge TranslationLanzhouP.R. China
- GIN AsiaLanzhouP.R. China
| | - Xiuli Wang
- Institute of PhotomedicineShanghai Skin Disease HospitalSchool of MedicineTongji UniversityShanghaiP.R. China
| | - Xing‐Hua Gao
- Department of DermatologyThe First Hospital of China Medical UniversityHeping DistrictShenyangP.R. China
- NHC Key Laboratory of Immunodermatology, China Medical UniversityHeping DistrictShenyangP.R. China
- Key Laboratory of Immunodermatology, China Medical UniversityMinistry of EducationHeping DistrictShenyangP.R. China
- National and Local Joint Engineering Research Center of Immunodermatological TheranosticsHeping DistrictShenyangP.R. China
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Rekik M, Sellami K, Hammami F, Baklouti M, Turki H. Pigmented and polypoid tumor of the pubis. Clin Case Rep 2022; 10:e05692. [PMID: 35414935 PMCID: PMC8980950 DOI: 10.1002/ccr3.5692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Accepted: 03/16/2022] [Indexed: 11/21/2022] Open
Abstract
Seborrheic keratosis is a common benign epidermal tumor occurring in patients aged over 50 years. It is located preferentially in the trunk, head and neck. The genital location is rare. We report a case of 59 year‐old‐men presenting a seborrheic keratosis of the pubis.
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Affiliation(s)
- Mariem Rekik
- Dermatology department Hedi Chaker University Hospital Sfax Tunisia
| | - Khadija Sellami
- Dermatology department Hedi Chaker University Hospital Sfax Tunisia
| | - Fatma Hammami
- Dermatology department Hedi Chaker University Hospital Sfax Tunisia
| | - Massara Baklouti
- Dermatology department Hedi Chaker University Hospital Sfax Tunisia
| | - Hamida Turki
- Dermatology department Hedi Chaker University Hospital Sfax Tunisia
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Wang B, Guo S, Yao Y, Zhang G. Clinical and dermoscopic overlap of genital molluscum contagiosum with condyloma acuminate. SAGE Open Med Case Rep 2022; 10:2050313X221086100. [PMID: 35341102 PMCID: PMC8943536 DOI: 10.1177/2050313x221086100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 02/21/2022] [Indexed: 11/25/2022] Open
Abstract
A 24-year-old male presented with asymptomatic penile papules for 1 month. Dermatology
examination showed pink, soft papules on the ventral side of the penis, with a clear
boundary and rough surface, and papillary hyperplasia could be seen. Dermoscopy revealed
multiple finger-like projections without vessels in the center of the lesion under
polarized light, and linear and crown-like vessels could be seen at the edge of the
lesion. Histopathological examination revealed endophytic infundibular hyperplasia with
keratinocytes containing Henderson–Patterson bodies. A diagnosis of molluscum contagiosum
was made. Molluscum contagiosum can present with several atypical presentations including
giant, cystic, ulcerated, or condyloma acuminatum-like, especially in immunosuppressed
patients. Here, we report a case of atypical genital molluscum contagiosum with novel
dermoscopic findings in an otherwise-healthy adult.
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Affiliation(s)
| | | | | | - Guoqiang Zhang
- Guoqiang Zhang, Department of Dermatology, The
First Hospital of Hebei Medical University, NO. 89, DongGang Road, Yuhua District,
Shijiazhuang 050031, Hebei Province, P.R. China.
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11
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Bakos RM, Leite LL, Reinehr C, Escobar GF. Dermoscopy of skin infestations and infections (entomodermoscopy) - Part II: viral, fungal and other infections. An Bras Dermatol 2021; 96:746-758. [PMID: 34620527 PMCID: PMC8790190 DOI: 10.1016/j.abd.2021.04.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 03/31/2021] [Accepted: 04/17/2021] [Indexed: 02/03/2023] Open
Abstract
In addition to the infestations and bacterial infections reported in part I, the study of entomodermoscopy also involves descriptions of dermoscopic findings of a growing number of viral and fungal infections, among others. In this article, the main clinical situations in viral infections where dermoscopy can be useful will be described, that is in the evaluation of viral warts, molluscum contagiosum, and even in recent scenarios such as the COVID-19 pandemic. As for fungal infections, dermoscopy is particularly important, not only in the evaluation of the skin surface, but also of skin annexes, such as hairs and nails. The differential diagnosis with skin tumors, especially melanomas, can be facilitated by dermoscopy, especially in the evaluation of cases of verruca plantaris, onychomycosis and tinea nigra.
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Affiliation(s)
| | - Leandro Linhares Leite
- Dermatology Service, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Clarissa Reinehr
- Postgraduation in Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
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12
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Seong SH, Jung JH, Kwon DI, Lee KH, Park JB, Baek JW, Suh KS, Jang MS. Dermoscopic findings of genital keratotic lesions: Bowenoid papulosis, seborrheic keratosis, and condyloma acuminatum. Photodiagnosis Photodyn Ther 2021; 36:102448. [PMID: 34293495 DOI: 10.1016/j.pdpdt.2021.102448] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 07/09/2021] [Accepted: 07/15/2021] [Indexed: 10/20/2022]
Abstract
Dermatologists often encounter keratotic or warty lesions in the genital area. Establishing a clear diagnosis may seem challenging, particularly when the differential diagnosis includes bowenoid papulosis, seborrheic keratosis, and condyloma acuminatum. This study aimed to compare the dermoscopic features of bowenoid papulosis (BP), seborrheic keratosis, and condyloma acuminatum in the genital area. All lesions histopathologically confirmed underwent clinical assessment and dermoscopic observation. Dermoscopically, glomerular vessels were predominant in bowenoid papulosis, whereas seborrheic keratosis was the least vascular-patterned disease. Most cases of bowenoid papulosis presented mucosal pigmentation and classified as "flat". Seborrheic keratosis had a pigmented, cerebriform appearance. Condyloma acuminatum was characterised by a finger-like appearance, highly vascular-patterned features surrounded by whitish halos. Dermoscopic findings can be useful for differentiating the entity of genital keratotic lesions ahead of an invasive method. When dermoscopic features favor BP, different from genital warts, it should be removed completely but conservatively.
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Affiliation(s)
- Seol Hwa Seong
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Jang Hwan Jung
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Do Ik Kwon
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Kang Hoon Lee
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Jong Bin Park
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Jae Woo Baek
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Kee Suck Suh
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea
| | - Min Soo Jang
- Department of Dermatology, Kosin University College of Medicine, Busan, South Korea.
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Abstract
Viral venereal diseases remain difficult to treat. Human papilloma virus (HPV) and herpes simplex virus (HSV) are two common viral venereal diseases. HPV infections are characterized by anogenital warts and less commonly by premalignant or malignant lesions. HSV infections classically present as grouped vesicles on an erythematous base with associated burning or pain; however, immunosuppressed patients may have atypical presentations with nodular or ulcerative lesions. This review discusses the epidemiology, diagnosis, and management of anogenital HPV and HSV infections with an emphasis on treatment modalities for the practicing dermatologist. Diagnosis of these diseases typically relies on clinical assessment, although multiple diagnostic techniques can be utilized and are recommended when diagnosis is uncertain or evaluating an individual with increased risk of malignancy. Management of HPV and HSV infections involves appropriate counseling, screening, and multiple treatment techniques. Particularly for HPV infections, a practitioner may need to use a combination of techniques to achieve the desired outcome.
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Ürün YG, Ürün M, Fıçıcıoğlu S. A case of perianal bowenoid papulosis: dermoscopic features and a review of previous cases. ACTA DERMATOVENEROLOGICA ALPINA PANNONICA ET ADRIATICA 2021. [DOI: 10.15570/actaapa.2021.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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15
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Maatouk I, Apalla Z, Errichetti E, Lallas A. Dermoscopy for venereologists: an update on patterns of tumors, inflammatory and infectious diseases of the genitalia, and tips for differential diagnosis. Int J Dermatol 2020; 60:1211-1218. [PMID: 33448049 DOI: 10.1111/ijd.15333] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 10/24/2020] [Accepted: 11/09/2020] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Dermoscopy is an integrative part of clinical dermatologic examination. For clinicians mainly dealing with genital dermatoses and other venereal diseases, the differential diagnosis includes a broad spectrum of neoplastic, inflammatory, and infectious entities. Dermoscopy might have a valuable role to enhance the clinical differential diagnosis and help avoid some biopsies done for diagnostic purposes. Although the dermoscopic patterns of most tumors and inflammatory diseases of the trunk/face have been described, their manifestations on genital areas are less elucidated. We aimed to provide a succinct summary of existing data on dermoscopy of dermatologic diseases on genital areas. METHODS A literature search was performed on PubMed using the terms dermoscopy OR dermatoscopy OR videodermoscopy OR video dermoscopy AND genital. All studies reporting on dermoscopic findings of at least one case of a dermatologic disease on genital areas were included in the review. Unless otherwise indicated, ×10 was the magnification used in the reported studies. The main outcome was to describe the dermoscopic feature of each disease. RESULTS A total of 31 articles were identified and analyzed. They included single case reports and case series. The described entities were categorized into anatomical variants, vascular and lymphatic lesions, tumors, inflammatory disorders, and infectious conditions. CONCLUSION In diseases of the genital area, dermoscopic findings can be highly diagnostic and might establish a confident diagnosis. Limitation is that most of the criteria are based on case series, and few of them have been validated.
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Affiliation(s)
- Ismael Maatouk
- Dermatology Department, Clemenceau Medical Center Affiliated with Johns Hopkins, Beirut, Lebanon.,School of social sciences, Nottingham Trent University, London, UK
| | - Zoe Apalla
- Second Department of Dermatology, School of Medicine, Aristotle University, Thessaloniki, Greece
| | - Enzo Errichetti
- Institute of Dermatology, Santa Maria della Misericordia' University Hospital, Udine, Italy
| | - Aimilios Lallas
- First Department of Dermatology, School of Medicine, Aristotle University, Thessaloniki, Greece
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16
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Lacarrubba F, Borghi A, Verzì AE, Corazza M, Stinco G, Micali G. Dermoscopy of genital diseases: a review. J Eur Acad Dermatol Venereol 2020; 34:2198-2207. [PMID: 32531092 DOI: 10.1111/jdv.16723] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 05/20/2020] [Indexed: 12/15/2022]
Abstract
The male and female external genital regions are anatomical areas in which various types of skin disorders may occur. Although most of these conditions can be diagnosed by means of clinical examination and an accurate medical history, in most cases further investigations with time-consuming and/or invasive procedures are needed in order to reach the correct diagnosis. Dermoscopy, as a modern non-invasive tool, is able to better diagnose pigmented and non-pigmented skin tumours along with various inflammatory and infectious skin and appendage disorders. The aim of this paper was to provide a review of the use of dermoscopy in genital disorders based on published data and to include personal experience gained from real life, focusing on any possible gender difference and whether disease mucosal/semimucosal dermoscopy features may differ from those observed on the skin. In conclusion, genital dermoscopy should always be considered during clinical inspection in order to enhance the diagnosis or to rule out those conditions that may look similar but that show a different dermoscopy pattern, thus narrowing down the differential diagnoses and avoiding unnecessary invasive investigations.
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Affiliation(s)
- F Lacarrubba
- Dermatology Clinic, University of Catania, Catania, Italy
| | - A Borghi
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - A E Verzì
- Dermatology Clinic, University of Catania, Catania, Italy
| | - M Corazza
- Department of Medical Sciences, Section of Dermatology and Infectious Diseases, University of Ferrara, Ferrara, Italy
| | - G Stinco
- Department of Experimental and Clinical Medicine, Institute of Dermatology, University of Udine, Udine, Italy
| | - G Micali
- Dermatology Clinic, University of Catania, Catania, Italy
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17
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Abstract
OBJECTIVE Dermoscopy is a useful technique for improving the diagnostic accuracy of various types of skin disorders. In China, dermoscopy has been widely accepted, and domestic researchers have made tremendous progress in the field of dermoscopy. The main purpose of this review is to summarize the current status of dermoscopy in China and identify its future directions. DATA SOURCES Articles included in this review were obtained by searching the following databases: Wanfang, China National Knowledge Infrastructure, PubMed, and the Web of Science. We focused on research published before 2019 with keywords including dermoscopy, dermoscopic, dermoscope and trichoscopy. STUDY SELECTION A total of 50 studies were selected. Of these studies, 20 studies were in Chinese and 30 in English, research samples of all the studies were collected from Chinese populations. RESULTS Since 2000, more than 380 articles about dermoscopy have been published in domestic or foreign journals. Dermoscopy can improve the diagnostic accuracy of neoplastic diseases, evaluating the therapeutic effect of treatment, and determining the treatment endpoint, and it can also assist in the differential diagnosis of inflammatory diseases and in the assessment of the severity of the disease. In addition, researches about the applications of dermoscopy during surgical treatment have been published. Training courses aiming to improve the diagnostic ability of dermatologists, either face-to-face or online, have been offered. The Chinese Skin Image Database, launched in 2017 as a work platform for dermatologists, has promoted the development of dermoscopy in China. Computer-aided diagnostic systems based on the Chinese population are ready for use. In the future, cooperation, resource sharing, talent development, image management, and computer-aided diagnosis will be important directions for the development of dermoscopy in China. CONCLUSION Dermoscopy has been widely used and developed in China, however, it still needs to address more challenges in the future.
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18
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Thakare S, Udare S. Importance of dermoscopy to diagnose vulvar vestibular papillomatosis vs. warts. Indian Dermatol Online J 2020; 11:680-681. [PMID: 32832480 PMCID: PMC7413464 DOI: 10.4103/idoj.idoj_463_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 06/04/2019] [Accepted: 06/25/2019] [Indexed: 11/16/2022] Open
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19
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Veasey JV, Erthal ALN, Lellis RF. In vivo and ex vivo dermoscopy of lesions from implantation of human papillomavirus in tattoos: report of two cases. An Bras Dermatol 2019; 95:78-81. [PMID: 31889590 PMCID: PMC7058879 DOI: 10.1016/j.abd.2019.02.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Accepted: 02/12/2019] [Indexed: 11/29/2022] Open
Abstract
The number of individuals with tattoos has been increasing worldwide, alongside with reports of complications varying from reactions to the injected pigments to infections caused by agents inoculated in the pigmentation process. The diagnosis of such unwanted events can be obtained through complementary non-invasive methods, preserving the maximum of the tattoo design. The authors present two cases of patients with warts on tattooing, and correlate their clinical aspects to in vivo and ex vivo dermoscopy, and to the findings in the histopathological examination, aiming to determine patterns that aid the diagnosis of these lesions without performing biopsy.
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Affiliation(s)
- John Verrinder Veasey
- Dermatology Clinic, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
| | - Ana Luisa Nasser Erthal
- Dermatology Clinic, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil
| | - Rute Facchini Lellis
- Pathology Laboratory, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil
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20
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García-Lozano JA, Cárdenas-de la Garza JA, Cuellar-Barboza A, Ocampo-Candiani J, Garza-Cortés R, González-Ramírez RA. Vascular dermoscopic features of intrameatal warts. Australas J Dermatol 2019; 61:e70-e72. [PMID: 31304587 DOI: 10.1111/ajd.13113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 06/07/2019] [Indexed: 12/01/2022]
Affiliation(s)
- José Alberto García-Lozano
- Universidad Autónoma de Nuevo Leon, Servicio de Dermatologia, Facultad de Medicina y Hospital Universitario, Monterrey, NL, Mexico
| | | | - Adrian Cuellar-Barboza
- Universidad Autónoma de Nuevo Leon, Servicio de Dermatologia, Facultad de Medicina y Hospital Universitario, Monterrey, NL, Mexico
| | - Jorge Ocampo-Candiani
- Universidad Autónoma de Nuevo Leon, Servicio de Dermatologia, Facultad de Medicina y Hospital Universitario, Monterrey, NL, Mexico
| | - Roberto Garza-Cortés
- Universidad Autónoma de Nuevo Leon, Servicio de Urología, Facultad de Medicina y Hospital Universitario, Monterrey, NL, Mexico
| | - Roger Adrián González-Ramírez
- Universidad Autónoma de Nuevo Leon, Departamento de Introducción a la Clínica, Facultad de Medicina y Hospital Universitario, Monterrey, NL, Mexico.,Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, NL, México
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21
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Chan S, Watchorn RE, Panagou E, Panou E, Ong ELH, Heelan K, Haider A, Freeman A, Bunker CB. Dermatoscopic findings of penile intraepithelial neoplasia: Bowenoid papulosis, Bowen disease and erythroplasia of Queyrat. Australas J Dermatol 2018; 60:e201-e207. [DOI: 10.1111/ajd.12981] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Accepted: 11/24/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Su‐Lin Chan
- Department of Dermatology University College London Hospital London UK
- Department of Dermatology Royal Perth Hospital Perth Western Australia Australia
| | | | - Evangelia Panagou
- Department of Dermatology University College London Hospital London UK
| | - Evdoxia Panou
- Department of Dermatology University College London Hospital London UK
| | - Eugene LH Ong
- Department of Dermatology University College London Hospital London UK
| | - Kara Heelan
- Department of Dermatology University College London Hospital London UK
- Department of Dermatology Royal Marsden HospitalLondon UK
| | - Aiman Haider
- Department of Histopathology University College London Hospital London UK
| | - Alex Freeman
- Department of Histopathology University College London Hospital London UK
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22
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Leung AK, Barankin B, Leong KF, Hon KL. Penile warts: an update on their evaluation and management. Drugs Context 2018; 7:212563. [PMID: 30622585 PMCID: PMC6302884 DOI: 10.7573/dic.212563] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2018] [Revised: 11/17/2018] [Accepted: 11/22/2018] [Indexed: 01/02/2023] Open
Abstract
Background Penile warts are the most common sexually transmitted disease in males. Clinicians should be familiar with the proper evaluation and management of this common condition. Objective To provide an update on the current understanding, evaluation, and management of penile warts. Methods A PubMed search was completed in Clinical Queries using the key terms 'penile warts' and 'genital warts'. The search strategy included meta-analyses, randomized controlled trials, clinical trials, observational studies, and reviews. Results Penile warts are caused by human papillomavirus (HPV), notably HPV-6 and HPV-11. Penile warts typically present as asymptomatic papules or plaques. Lesions may be filiform, exophytic, papillomatous, verrucous, hyperkeratotic, cerebriform, fungating, or cauliflower-like. Approximately one-third of penile warts regress without treatment and the average duration prior to resolution is approximately 9 months. Active treatment is preferable to watchful observation to speed up clearance of the lesions and to assuage fears of transmission and autoinoculation. Patient-administered therapies include podofilox (0.5%) solution or gel, imiquimod 3.75 or 5% cream, and sinecatechins (polypheron E) 15% ointment. Clinician-administered therapies include podophyllin, cryotherapy, bichloroacetic or trichloroacetic acid, oral cimetidine, surgical excision, electrocautery, and carbon dioxide laser therapy. Patients who do not respond to first-line treatments may respond to other therapies or a combination of treatment modalities. Second-line therapies include topical/intralesional/intravenous cidofovir, topical 5-fluorouracil, and topical ingenol mebutate. Conclusion No single treatment has been shown to be consistently superior to other treatment modalities. The choice of the treatment method should depend on the physician's comfort level with the various treatment options, the patient's preference and tolerability of treatment, and the number and severity of lesions. The comparative efficacy, ease of administration, adverse effects, cost, and availability of the treatment modality should also be taken into consideration.
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Affiliation(s)
- Alexander Kc Leung
- Department of Pediatrics, The University of Calgary, Alberta Children's Hospital, Calgary, Alberta, Canada
| | | | - Kin Fon Leong
- Pediatric Institute, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia
| | - Kam Lun Hon
- Department of Pediatrics, The Chinese University of Hong Kong, Shatin, Hong Kong
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23
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Verzì AE, Lacarrubba F, Dinotta F, Micali G. Dermatoscopy of Parasitic and Infectious Disorders. Dermatol Clin 2018; 36:349-358. [PMID: 30201144 DOI: 10.1016/j.det.2018.05.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The use of dermatoscopy in the diagnosis and management of parasitic and infectious skin disorders has been defined as entodermoscopy, and several studies have confirmed its advantages in dermatology. Dermatoscopic patterns of several parasitic, viral, and fungal skin infections have been identified and herein described. A noninvasive, fast, and accurate diagnosis plays an important role in containing the spread of contagious skin disorders.
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Affiliation(s)
- Anna Elisa Verzì
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Francesco Lacarrubba
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Franco Dinotta
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Giuseppe Micali
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy.
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24
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Lacarrubba F, Ardigò M, Di Stefani A, Verzì AE, Micali G. Dermatoscopy and Reflectance Confocal Microscopy Correlations in Nonmelanocytic Disorders. Dermatol Clin 2018; 36:487-501. [PMID: 30201157 DOI: 10.1016/j.det.2018.05.015] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Dermatoscopy and in vivo reflectance confocal microscopy are noninvasive techniques that provide a horizontal approach, with an en face view of the skin structures. Both techniques assist in the clinical diagnosis of a variety of inflammatory and infectious cutaneous disorders. In many cases, they have shown concordance. Their combined use represents, in several instances, a promising option to reach the final diagnosis without the need for invasive procedures.
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Affiliation(s)
- Francesco Lacarrubba
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy.
| | - Marco Ardigò
- Department of Clinical Dermatology, San Gallicano Dermatological Institute, Rome, Italy
| | | | - Anna Elisa Verzì
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
| | - Giuseppe Micali
- Dermatology Clinic, University of Catania, Via Santa Sofia 78, Catania 95123, Italy
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25
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Campos MA, Sousa A, Lage G, Varela P, Menezes N, Tente D, Zalaudek I, Baptista A, Rocha N. Blue-gray plaque of the penis. JAAD Case Rep 2018; 4:531-533. [PMID: 29872668 PMCID: PMC5986158 DOI: 10.1016/j.jdcr.2017.07.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
| | - Ana Sousa
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - Gisela Lage
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - Paulo Varela
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - Nuno Menezes
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - David Tente
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - Iris Zalaudek
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - Armando Baptista
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
| | - Natividade Rocha
- Centro Hospitalar Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal
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26
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Zhang Y, Jiang S, Lin H, Guo X, Zou X. Application of dermoscopy image analysis technique in diagnosing urethral condylomata acuminata. An Bras Dermatol 2018; 93:67-71. [PMID: 29641700 PMCID: PMC5871365 DOI: 10.1590/abd1806-4841.20186527] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2016] [Accepted: 12/11/2016] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND In this study, cases with suspected urethral condylomata acuminata were examined by dermoscopy, in order to explore an effective method for clinical. OBJECTIVE To study the application of dermoscopy image analysis technique in clinical diagnosis of urethral condylomata acuminata. METHODS A total of 220 suspected urethral condylomata acuminata were clinically diagnosed first with the naked eyes, and then by using dermoscopy image analysis technique. Afterwards, a comparative analysis was made for the two diagnostic methods. RESULTS Among the 220 suspected urethral condylomata acuminata, there was a higher positive rate by dermoscopy examination than visual observation. STUDY LIMITATIONS Dermoscopy examination technique is still restricted by its inapplicability in deep urethral orifice and skin wrinkles, and concordance between different clinicians may also vary. CONCLUSION Dermoscopy image analysis technique features a high sensitivity, quick and accurate diagnosis and is non-invasive, and we recommend its use.
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Affiliation(s)
- Yunjie Zhang
- Department of Dermatology of First Affiliated Hospital of PLA
General Hospital - Beijing, China
| | - Shuang Jiang
- Department of Dermatology of First Affiliated Hospital of PLA
General Hospital - Beijing, China
| | - Hui Lin
- Department of Dermatology of First Affiliated Hospital of PLA
General Hospital - Beijing, China
| | - Xiaojuan Guo
- Department of Dermatology of First Affiliated Hospital of PLA
General Hospital - Beijing, China
| | - Xianbiao Zou
- Department of Dermatology of First Affiliated Hospital of PLA
General Hospital - Beijing, China
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27
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Li X, Yu J, Thomas S, Lee K, Soyer HP. Clinical and dermoscopic features of common warts. J Eur Acad Dermatol Venereol 2017; 31:e308-e310. [PMID: 27997729 DOI: 10.1111/jdv.14093] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- X Li
- Department of Dermatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
| | - J Yu
- Department of Dermatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
| | - S Thomas
- Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Qld, Australia
| | - K Lee
- Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Qld, Australia
| | - H P Soyer
- Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Qld, Australia
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28
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Kittler H, Marghoob AA, Argenziano G, Carrera C, Curiel-Lewandrowski C, Hofmann-Wellenhof R, Malvehy J, Menzies S, Puig S, Rabinovitz H, Stolz W, Saida T, Soyer HP, Siegel E, Stoecker WV, Scope A, Tanaka M, Thomas L, Tschandl P, Zalaudek I, Halpern A. Standardization of terminology in dermoscopy/dermatoscopy: Results of the third consensus conference of the International Society of Dermoscopy. J Am Acad Dermatol 2016; 74:1093-106. [PMID: 26896294 DOI: 10.1016/j.jaad.2015.12.038] [Citation(s) in RCA: 162] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2015] [Revised: 12/15/2015] [Accepted: 12/20/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Evolving dermoscopic terminology motivated us to initiate a new consensus. OBJECTIVE We sought to establish a dictionary of standardized terms. METHODS We reviewed the medical literature, conducted a survey, and convened a discussion among experts. RESULTS Two competitive terminologies exist, a more metaphoric terminology that includes numerous terms and a descriptive terminology based on 5 basic terms. In a survey among members of the International Society of Dermoscopy (IDS) 23.5% (n = 201) participants preferentially use descriptive terminology, 20.1% (n = 172) use metaphoric terminology, and 484 (56.5%) use both. More participants who had been initially trained by metaphoric terminology prefer using descriptive terminology than vice versa (9.7% vs 2.6%, P < .001). Most new terms that were published since the last consensus conference in 2003 were unknown to the majority of the participants. There was uniform consensus that both terminologies are suitable, that metaphoric terms need definitions, that synonyms should be avoided, and that the creation of new metaphoric terms should be discouraged. The expert panel proposed a dictionary of standardized terms taking account of metaphoric and descriptive terms. LIMITATIONS A consensus seeks a workable compromise but does not guarantee its implementation. CONCLUSION The new consensus provides a revised framework of standardized terms to enhance the consistent use of dermoscopic terminology.
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Affiliation(s)
- Harald Kittler
- Department of Dermatology, Medical University of Vienna, Vienna, Austria.
| | - Ashfaq A Marghoob
- Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, New York
| | - Giuseppe Argenziano
- Dermatology and Skin Cancer Unit, Arcispedale Santa Maria Nuova, Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS), Reggio Emilia, Italy
| | - Cristina Carrera
- Melanoma Unit, Department of Dermatology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, and Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBER ER), Instituto de Salud Carlos III, Barcelona, Spain
| | | | - Rainer Hofmann-Wellenhof
- Department of Dermatology and Venerology, Nonmelanoma Skin Cancer Unit, Medical University of Graz, Graz, Austria
| | - Josep Malvehy
- Melanoma Unit, Department of Dermatology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, and Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBER ER), Instituto de Salud Carlos III, Barcelona, Spain
| | - Scott Menzies
- Sydney Melanoma Diagnostic Center, Sydney Cancer Center, Royal Prince Alfred Hospital, Camperdown, Australia
| | - Susana Puig
- Melanoma Unit, Department of Dermatology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, and Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBER ER), Instituto de Salud Carlos III, Barcelona, Spain
| | | | - Wilhelm Stolz
- Department of Dermatology, Klinikum München, Munich, Germany
| | - Toshiaki Saida
- Department of Dermatology, Shinshu University School of Medicine, Matsumoto, Japan
| | - H Peter Soyer
- Dermatology Research Center, University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia
| | - Eliot Siegel
- University of Maryland Medical Center, Baltimore Department of Veterans Affairs Medical Center, Baltimore, Maryland
| | - William V Stoecker
- Department of Dermatology, University of Missouri Health Sciences Center, Columbia, Missouri
| | - Alon Scope
- Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, New York; Department of Dermatology, Sheba Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Masaru Tanaka
- Department of Dermatology, Keio University, Tokyo, Japan
| | - Luc Thomas
- Service de Dermatologie, Center Hospitalier Universitaire de Lyon, Lyon, France
| | - Philipp Tschandl
- Department of Dermatology, Medical University of Vienna, Vienna, Austria
| | - Iris Zalaudek
- Department of Dermatology and Venerology, Nonmelanoma Skin Cancer Unit, Medical University of Graz, Graz, Austria
| | - Allan Halpern
- Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, New York
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Marcucci C, Sabban EC, Friedman P, Peralta R, Calb I, Cabo H. Dermoscopic findings in bowenoid papulosis: report of two cases. Dermatol Pract Concept 2014; 4:61-3. [PMID: 25396088 PMCID: PMC4230261 DOI: 10.5826/dpc.0404a11] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Accepted: 08/18/2014] [Indexed: 10/31/2022] Open
Abstract
Bowenoid papulosis (BP) corresponds to an in situ squamous cell carcinoma (SCC) located in the anogenital region. It is related to HPV, and presents with gray-brown elevated papules or plaques. A biopsy is needed to confirm the diagnosis; however, dermoscopy may be useful to differentiate this disease from other conditions, such as genital warts, seborrheic keratosis and lichen planus. In this paper we describe the dermoscopic findings in two patients with this disease.
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Affiliation(s)
| | - Emilia Cohen Sabban
- Dermatology Section, Instituto de Investigaciones Médicas "A. Lanari", University of Buenos Aires, Argentina
| | | | | | | | - Horacio Cabo
- Dermatology Section, Instituto de Investigaciones Médicas "A. Lanari", University of Buenos Aires, Argentina
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Veasey JV, Framil VMDS, Nadal SR, Marta AC, Lellis RF. Genital warts: comparing clinical findings to dermatoscopic aspects, in vivo reflectance confocal features and histopathologic exam. An Bras Dermatol 2014; 89:137-40. [PMID: 24626658 PMCID: PMC3938364 DOI: 10.1590/abd1806-4841.20141917] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2012] [Accepted: 02/15/2013] [Indexed: 01/12/2023] Open
Abstract
Genital warts can be diagnosed through physical examination and confirmed by
histopathology. Noninvasive methods are useful for ruling out other diagnoses with no
harm to the patient. In this study the clinical findings were compared to dermoscopy,
reflectance confocal microscopy (RCM), and to histopathology findings, in order to
determine possible patterns that can aid diagnosis of the lesion. It was possible to
identify structural changes on reflectance confocal microscopy that are already known
by dermoscopy, in addition to cellular changes previously seen only by
histopathological examination. This study shows the use of reflectance confocal
microscopy in cases of genital warts, providing important information that can be
used in further studies.
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Affiliation(s)
- John Verrinder Veasey
- Santa Casa Medical School, Department of Medicine, Dermatology Division, São PauloSP, Brazil, MD; Dermatology Division, Department of Medicine, Santa Casa Medical School, São Paulo (SP), Brazil
| | - Valéria Maria de Souza Framil
- Santa Casa Medical School, Department of Medicine, Dermatology Division, São PauloSP, Brazil, PhD; Dermatology Division, Department of Medicine, Santa Casa Medical School, São Paulo (SP), Brazil
| | - Sidney Roberto Nadal
- Santa Casa Medical School, Department of Surgery, Coloproctology Division, São PauloSP, Brazil, PhD; Coloproctology Division, Department of Surgery, Santa Casa Medical School, São Paulo (SP), Brazil
| | - Alessandra Cristine Marta
- Santa Casa Medical School, Department of Medicine, Dermatology Division, São PauloSP, Brazil, MD; Department of Medicine, Dermatology Division, Department of Medicine, Santa Casa Medical School, São Paulo (SP), Brazil
| | - Rute Facchini Lellis
- Santa Casa Medical School, Department of Pathology, São PauloSP, Brazil, MD; Department of Pathology, Santa Casa Medical School, São Paulo (SP), Brazil
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Lallas A, Giacomel J, Argenziano G, García-García B, González-Fernández D, Zalaudek I, Vázquez-López F. Dermoscopy in general dermatology: practical tips for the clinician. Br J Dermatol 2014; 170:514-26. [DOI: 10.1111/bjd.12685] [Citation(s) in RCA: 98] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/07/2013] [Indexed: 12/30/2022]
Affiliation(s)
- A. Lallas
- Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
| | - J. Giacomel
- Skin Spectrum Medical Services; Como WA Australia
| | - G. Argenziano
- Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
| | - B. García-García
- Department of Dermatology; Hospital Universitario Central de Asturias; Oviedo Spain
| | | | - I. Zalaudek
- Skin Cancer Unit; Arcispedale Santa Maria Nuova IRCCS; Reggio Emilia Italy
- Department of Dermatology; Medical University of Graz; Graz Austria
| | - F. Vázquez-López
- Department of Dermatology; Hospital Universitario Central de Asturias; Oviedo Spain
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Lallas A, Zalaudek I, Argenziano G, Longo C, Moscarella E, Di Lernia V, Al Jalbout S, Apalla Z. Dermoscopy in General Dermatology. Dermatol Clin 2013; 31:679-94, x. [DOI: 10.1016/j.det.2013.06.008] [Citation(s) in RCA: 68] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
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Taheri AR, Pishgooei N, Maleki M, Goyonlo VM, Kiafar B, Banihashemi M, Khajedaluee M. Dermoscopic features of cutaneous leishmaniasis. Int J Dermatol 2013; 52:1361-6. [PMID: 23968138 DOI: 10.1111/ijd.12114] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Previous studies have demonstrated that dermoscopy improves accuracy in diagnosing pigmented and non-pigmented tumors. Recently, there has been increasing evidence that dermoscopy can also be useful in the diagnosis of some skin infections. OBJECTIVE We sought to describe the dermoscopic features of cutaneous leishmaniasis. METHOD Dermoscopic examination (using the Derm Lite FOTO, 3Gen) of 144 CL lesions in 82 patients was performed. This study was conducted in the Imam Reza and Ghaem hospitals (Mashhad, Iran) from October 2010 to September 2011. RESULTS We observed the following dermoscopic features: generalized erythema (81.9%), white starbursts (60.4%), yellow hue (43.8%), yellow teardrop-like structures (41.7%), central ulcers (59%), hyperkeratosis (33.3%), and milia-like cysts (4.9%). We also observed vascular structures, including dotted vessels (61.1%), hairpin vessels (37.5%), linear irregular vessels (30.6%), comma-shaped vessels (29.9%), glomerular vessels (22.9%), arborizing telangiectasia (10.4%), and corkscrew vessels (4.2%). LIMITATIONS Biopsy and pathologic evaluation were not performed due to ethical considerations. CONCLUSION Important vascular patterns seen in melanocytic and non-melanocytic tumors were frequently observed in this infection. Dermoscopy may be a promising tool to predict the clinical course in cases of cutaneous leishmaniasis.
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Affiliation(s)
- Ahmad Reza Taheri
- Cutaneous Leishmaniasis Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
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Kaçar N, Demirkan N. Plantar wart with parallel ridge pattern in a patient with a previous history of melanoma: a diagnostic challenge. Australas J Dermatol 2013; 54:e78-9. [PMID: 23905982 DOI: 10.1111/ajd.12083] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Haliasos EC, Kerner M, Jaimes-Lopez N, Rudnicka L, Zalaudek I, Malvehy J, Hofmann-Wellenhof R, Braun RP, Marghoob AA. Dermoscopy for the pediatric dermatologist part I: dermoscopy of pediatric infectious and inflammatory skin lesions and hair disorders. Pediatr Dermatol 2013; 30:163-71. [PMID: 23405886 DOI: 10.1111/pde.12097] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The dermoscope allows physicians to examine the macroscopic and microscopic primary morphology of skin lesions, identify subtle clinical clues, confirm naked-eye clinical diagnoses, and monitor treatment progress while posing little threat to the young patient. This review summarizes important dermoscopic structures seen in infectious and inflammatory skin conditions and hair disorders in children. Scabies, pediculosis, phthiriasis, molluscum contagiosum, tinea nigra, and verrucae are well characterized dermoscopically by delta-shaped structures, ovoid-shaped nits, the crab louse, red corona, brown strands or spicules, and multiple densely packed papilla with a central black dot surrounded by a whitish halo, respectively. These dermoscopic structures will be discussed, focusing on the dermoscopic morphologies and dermoscopic sensitivity for diagnosis and its utility in monitoring treatment progress. Dermoscopy has also been shown to significantly improve the clinician's diagnostic and monitoring accuracy of inflammatory skin lesions such as psoriasis, which is characterized dermoscopically by uniformly distributed dotted blood vessels, and lichen planus, which is characterized by whitish lines on a purple to reddish background. Dermoscopy of the hair and scalp (trichoscopy) facilitates the differential diagnosis of hair diseases in children, including alopecia areata, trichotillomania, and tinea capitis. It can also assist in the diagnosis of multiple genetic hair shaft disorders, such as monilethrix, trichorrhexis invaginata, trichorrhexis nodosa, pili torti, and pili annulati.
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Affiliation(s)
- Elena C Haliasos
- Memorial Sloan Kettering Cancer Center, Hauppauge, New York 11788, USA
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Seznec C. La chronique de la gynéco: Human papillomavirus et assistance médicale à la procréation: « Liaisons dangereuses » ou flirts sans lendemain ? Basic Clin Androl 2011. [DOI: 10.1007/s12610-011-0142-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Résumé
Au début de ce XXIe siècle, il est nécessaire de s’interroger sur la coexistence des Human papillomavirus (HPV), virus quasi ubiquitaires, et des techniques d’assistance médicale à la procréation (AMP) non pas sous l’angle des résultats de l’AMP mais du risque potentiel encouru par les femmes de développer des lésions épithéliales du tractus génital suite à une transmission de certains de ces virus oncogènes lors des techniques d’AMP intraconjugale ou par tiers donneur.
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