1
|
Kim GW, Shin K, Kim TW, You HS, Jin HJ, Shim WH, Kim HS, Ko HC, Kim BS, Kim MB. The importance of dermoscopy for the diagnosis of acquired bilateral telangiectatic macules: the angioid streak pattern reveals underlying chronic liver disease. J Eur Acad Dermatol Venereol 2017; 32:1597-1601. [PMID: 29114961 DOI: 10.1111/jdv.14669] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 10/18/2017] [Indexed: 12/01/2022]
Abstract
BACKGROUND Acquired bilateral telangiectatic macules (ABTM) are a newly recognized disease entity, which manifest as multiple telangiectatic pigmented macules confined mostly to the upper arms. OBJECTIVES To evaluate clinical and dermoscopic features in a group of 50 patients with ABTM and to determine the diagnostic usefulness of dermoscopy in ABTM. METHODS Patients were selected from two tertiary teaching hospitals in Korea [Pusan National University Hospitals (Busan and Yangsan)]. Fifty patients (41 males and 9 females; mean age 48.1 years; range 26-78 years) with ABTM were included in the study. The dermoscopic findings were graded using a 4-point scale: none (0), mild (1), moderate (2) and severe (3). In addition, the results of 23 patients with and 27 patients without chronic liver disease (CLD) were compared to determine whether the presence of CLD affects dermoscopic findings. RESULTS Three distinct dermoscopic patterns were observed; brown pigmentations, telangiectasia (linear-irregular vessels) and an angioid streak pattern. Brown pigmentation in the group without CLD had higher severity score than those in CLD group (mean score: 2.00 vs. 1.48, P = 0.033). However, mean telangiectasia severity score was higher in the CLD group (2.14 vs. 1.39, P < 0.001). The angioid streak pattern was more severe and more common in patients with CLD than in those without [1.37 vs. 0.35 (P < 0.001) and 63.0% vs. 26.1%, respectively]. CONCLUSIONS Detailed observations with dermoscopy can provide first clues of the presence of ABTM and underlying chronic liver disease.
Collapse
Affiliation(s)
- G-W Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
| | - K Shin
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - T-W Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - H-S You
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - H-J Jin
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - W-H Shim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - H-S Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - H-C Ko
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea
| | - B-S Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
| | - M-B Kim
- Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea.,Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
| |
Collapse
|
2
|
Prieto-Torres L, Gracia-Cazaña T, Sánchez-Salas MP, Muñiz G, Padgett E, Gilaberte Y. Unilateral progressive telangiectatic eruption with a metameral distribution during pregnancy. J OBSTET GYNAECOL 2016; 37:377-378. [PMID: 27919175 DOI: 10.1080/01443615.2016.1244813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Lucia Prieto-Torres
- a Department of Dermatology , University Hospital "Lozano Blesa" Zaragoza , Spain
| | | | | | - Gorka Muñiz
- c Department of Pathology , Hospital de Barbastro , Barbastro , Spain
| | - Esteban Padgett
- d Aragon Health Service , Hospital de Barbastro , Barbastro , Spain
| | | |
Collapse
|
3
|
Happle R. Capillary malformations: a classification using specific names for specific skin disorders. J Eur Acad Dermatol Venereol 2015; 29:2295-305. [DOI: 10.1111/jdv.13147] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2015] [Accepted: 03/13/2015] [Indexed: 12/15/2022]
Affiliation(s)
- R. Happle
- Department of Dermatology; Freiburg University Medical Center; Freiburg Germany
| |
Collapse
|