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Zhao J, Zhang X, Tang Q, Bi Y, Yuan L, Yang B, Cai M, Zhang J, Deng D, Cao W. The correlation between dermoscopy and clinical and pathological tests in the evaluation of skin photoaging. Skin Res Technol 2024; 30:e13578. [PMID: 38221782 PMCID: PMC10788580 DOI: 10.1111/srt.13578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 11/23/2023] [Indexed: 01/16/2024]
Abstract
BACKGROUND There are no standards for evaluating skin photoaging. Dermoscopy is a non-invasive detection method that might be useful for evaluating photoaging. OBJECTIVE To assess the correlation between the dermoscopic evaluation of photoaging and clinical and pathological evaluations. METHODS The age, clinical evaluation (Fitzpatrick classification, Glogau Photoaging Classification, and Chung's standardized image ruler), histopathology (Masson staining and MMP-1 immunohistochemistry), and dermoscopy (Hu's and Isik's) of 40 donor skin samples were analyzed statistically, and Spearman rank correlation analysis was performed. RESULTS There was a robust correlation between the total Hu scores and Isik dermoscopy. The correlation of dermoscopy with histopathology was higher than that of clinical evaluation methods. There is a strong correlation between telangiectases and lentigo. Xerosis, superficial wrinkle, diffuse erythema, telangiectases, and reticular pigmentation were significantly correlated with the three clinical evaluation methods. Superficial wrinkles were correlated with Masson, MMP-1, various clinical indicators, and other dermoscopic items. CONCLUSION There is a good correlation between dermoscopy and clinical and histopathological examination. Dermoscopy might help evaluate skin photoaging.
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Affiliation(s)
- Jie Zhao
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Xun Zhang
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Qiao Tang
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
- Department of DermatologyQionglai City Medical Center HospitalQionglaiSichuanChina
| | - Yunfeng Bi
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Limei Yuan
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Binbin Yang
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Mei Cai
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Jianzhong Zhang
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
- Department of DermatologyPeking University People's HospitalBeijingChina
| | - Danqi Deng
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
| | - Wenting Cao
- Department of DermatologyThe Second Affiliated Hospital of Kunming Medical UniversityKunmingYunnanChina
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Elshahid AR, Kadah AS, Hassan EA, Elsaie ML. Efficacy of Jessener solution versus intralesional steroid in treatment of alopecia areata. J Cosmet Dermatol 2023; 22:529-533. [PMID: 36448744 DOI: 10.1111/jocd.15546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 11/07/2022] [Accepted: 11/22/2022] [Indexed: 12/05/2022]
Abstract
BACKGROUND Alopecia areata is an autoimmune condition that causes non-scarring hair loss. To date, there is no single cure and treatment remains challenging. OBJECTIVES To evaluate the efficacy of Jessener solution versus intralesional steroid in treatment of Alopecia Areata. METHODS This study included 40 patients who presented with multifocal patchy alopecia areata (AA). For each patient, three patches were randomly selected to be treated one with intralesional steroid, another with topical Jessner solution and the third with normal saline. Three sessions were done 3 weeks apart and were followed up for 3 months. Response was assessed clinically and by trichoscope. RESULTS Fifteen percent of patches coated with Jessner or injected with steroids showed an excellent response while 20% of patches coated with Jessner and 32.5% patches injected with steroids showed a good response. A significant difference was observed between the three modalities of treatment regarding the prognostic score for response (p < 0.001) as patches coated with Jessner and those steroid injected showed a significant higher response rate than patches injected with saline (p < 0.001) while no significant difference was reported between patches either treated with Jessner or steroids (p > 0.05). CONCLUSION Jessners solution can be a novel and feasible and well tolerated modality of treatment for patients suffering from alopecia areata.
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Affiliation(s)
- Ahmed Rashad Elshahid
- Dermatology, Venereology and Andrology department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
| | - Ahmed Said Kadah
- Dermatology, Venereology and Andrology department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
| | - Eman Abdellatif Hassan
- Dermatology, Venereology and Andrology department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
| | - Mohamed L Elsaie
- Department of Dermatology, Medical and Clinical Research Institute, National Research Centre, Cairo, Egypt
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Elariny AF, Ghozlan N, Wasief S, Moussa AE, Eldeeb ME. Evaluation of efficacy of follicular unit extraction versus follicular unit extraction with platelet rich plasma in treatment of cicatricial alopecia. J Cosmet Dermatol 2022; 21:5931-5937. [PMID: 35791055 DOI: 10.1111/jocd.15213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Revised: 05/31/2022] [Accepted: 06/21/2022] [Indexed: 12/27/2022]
Abstract
BACKGROUND Follicular unit extraction (FUE) is a minimally invasive surgery that is becoming popular in hair restoration in cicatricial alopecia (CA). AIM Evaluation of FUE with or without platelet rich plasma (PRP) in scarring alopecia. PATIENTS AND METHODS Twenty patients with CA were randomized into two groups. Group A (10 patients) underwent FUE, group B (10 patients) underwent FUE + PRP. PRP was injected 1 week before surgery, then monthly after surgery for 3 months. Follow up was done after 3, 6 and 12 months by calculating the density of surviving follicular units and the survival rate. RESULTS In group A, there was statistically significant increase in mean survival rate which was 30.30%. At 3 months, 67.26% at 6 months and 78.15% at 12 months. In group B, there was a significant increase in mean survival rate being 30.14% at 3 months, 58.75% at 6 months and 69.74% at 12 months. There was no significant difference between both groups at anytime during follow up period. CONCLUSION Follicular unit extraction is a preferred procedure for hair restoration in CA with few side effects. The role of PRP in HT is controversial. In the present study, PRP does not significantly affect the survival rate of hair grafts.
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Affiliation(s)
- Ali Fouad Elariny
- Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Nasser Ghozlan
- Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Sherif Wasief
- Department of Plastic Surgery, Shark El Madina Hospital, Alexandria, Egypt
| | - Aya Elsayed Moussa
- Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Marwa Elsaeed Eldeeb
- Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University, Alexandria, Egypt
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Wang HXE, Tang PY, Oh CC. Dermoscopic features of cutaneous post-transplant lymphoproliferative disorder in a renal transplant recipient. JAAD Case Rep 2022; 27:9-12. [PMID: 35959092 PMCID: PMC9361210 DOI: 10.1016/j.jdcr.2022.06.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Affiliation(s)
| | - Po Yin Tang
- Department of Pathology, Singapore General Hospital, Singapore
| | - Choon Chiat Oh
- Department of Dermatology, Singapore General Hospital, Singapore
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Agrawal S, Jaiswal S, Hajare S. Dermoscopy-guided foreign body removal using an inexpensive carton-made adapter. J Am Acad Dermatol 2022; 86:e199-e200. [PMID: 32553636 DOI: 10.1016/j.jaad.2020.05.155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Accepted: 05/25/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Sandip Agrawal
- Department of Dermatology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
| | - Saurabh Jaiswal
- Department of Dermatology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India
| | - Sumit Hajare
- Department of Dermatology, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India.
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Soliman M, Aal HA, Sadek AM, Tawfik AA. Pulsed-dye Laser Versus Intralesional Steroid in the Management of Nail Psoriasis: A Randomized, Intra-patient, Comparative, Controlled Study. J Clin Aesthet Dermatol 2021; 14:45-49. [PMID: 34980971 PMCID: PMC8675333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
BACKGROUND Intralesional injection of corticosteroid (ILIS) and pulsed-dye laser (PDL) have been used in nail psoriasis treatment with variable outcomes. OBJECTIVE We sought to compare the efficacy of ILIS to PDL for the treatment of psoriatic fingernails using a dermoscope in the assessment and follow-up. METHODS This study included 30 patients with bilateral nail psoriasis. The fingernails of one hand were treated with PDL, whereas ILIS was used to treat the fingernails of the other hand. One psoriatic nail was left alone as a control. Every patient received four treatment sessions once every month. Efficacy was recorded clinically using the Nail Psoriasis Severity Index (NAPSI) and by a dermoscope before treatment (baseline) and at eight, 24, and 36 weeks after treatment. RESULTS The assessment by NAPSI revealed improvements of 22.24% and 24.11% occurred in the laser group and the intralesional steroid group, respectively. Also, the dermoscopic assessments revealed an improvement of 18.33% in the laser group versus that of 21.69% in the ILES. No significant difference was found between the two groups. CONCLUSION Both PDL and ILIS are considered safe treatments for nail psoriasis, yielding nearly equal results. The dermoscope is a reliable tool for the diagnosis and follow-up of nail psoriasis treatment.
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Affiliation(s)
- Mona Soliman
- All authors are with the Dermatology Unit, Medical Applications at the Laser National institute of Laser Enhanced Sciences, at Cairo University in Cairo , Egypt
- Ms. Aal is also with the Cairo Hospital for Dermatology and Venereology in Cairo, Egypt
| | - Hanaa Abdel Aal
- All authors are with the Dermatology Unit, Medical Applications at the Laser National institute of Laser Enhanced Sciences, at Cairo University in Cairo , Egypt
- Ms. Aal is also with the Cairo Hospital for Dermatology and Venereology in Cairo, Egypt
| | - Ahmed M Sadek
- All authors are with the Dermatology Unit, Medical Applications at the Laser National institute of Laser Enhanced Sciences, at Cairo University in Cairo , Egypt
- Ms. Aal is also with the Cairo Hospital for Dermatology and Venereology in Cairo, Egypt
| | - Abeer Attia Tawfik
- All authors are with the Dermatology Unit, Medical Applications at the Laser National institute of Laser Enhanced Sciences, at Cairo University in Cairo , Egypt
- Ms. Aal is also with the Cairo Hospital for Dermatology and Venereology in Cairo, Egypt
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Bains P, Kaur S. The Role of Dermoscopy in Severity Assessment of Alopecia Areata: A Tertiary Care Center Study. J Clin Aesthet Dermatol 2020; 13:45-50. [PMID: 33144912 PMCID: PMC7605386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE: To evaluate the dermoscopic features of alopecia areata (AA) and correlate these features with patterns and severity. DESIGN AND SETTING: The present study was performed over a period of six months, from September 2018 to February 2019, in a tertiary care hospital where clinically diagnosed patients with AA were enrolled. A thorough clinical examination followed by dermoscopy was performed. The results were tabulated and then analyzed statistically. PARTICIPANTS: The study included 52 patients with AA of either sex and all age groups. Patients whose diagnosis was unclear and those who received treatment for their AA in the month prior to the study were excluded. RESULTS: The mean age of presentation was 22.8±12.1 years. The most common dermoscopic finding was presence of black dots (BD) seen in 82.7 percent of patients; the least common was tulip hairs (TH), seen in 9.6 percent. Significant associations between yellow dots (YD) and broken hair (BH) and severity of alopecia was observed. There was a significant correlation of alopecia areata disease pattern with YD and BH (p<0.05). CONCLUSION: This study highlights the potential use of dermoscopy in AA as a means to understand various disease characteristics that can act as predictors of severe disease or poor prognosis.
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Affiliation(s)
- Pooja Bains
- Drs. Bains and Kaur are with the Department of Dermatology, Venereology, and Leprosy at Sri Guru Ram Das Institute of Medical Sciences and Research in Amritsar, India
| | - Simplepreet Kaur
- Drs. Bains and Kaur are with the Department of Dermatology, Venereology, and Leprosy at Sri Guru Ram Das Institute of Medical Sciences and Research in Amritsar, India
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Kaur I, Chowdhry S, D'Souza P, Jakhar D, Yadav MK, Kaur O. Intra-Operative Dermoscopy in Assessment of Melanonychia and as a Guide for Biopsy. Indian Dermatol Online J 2020; 11:171-176. [PMID: 32477974 PMCID: PMC7247626 DOI: 10.4103/idoj.idoj_94_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Background and Aims: Melanonychia can be a manifestation of benign or malignant pathology and often poses a diagnostic challenge on clinical examination. Even with distinguishing dermoscopic features (nail plate), it can be quite difficult to determine the nature of pigmentation as complete assessment of nail bed and matrix is still not possible. Intraoperative dermoscopy (IOD) can serve as a useful tool to appreciate the bed and matrix changes. The aim here is to study the intraoperative dermoscopic features in patients with melanonychia and correlate with histopathology. Methods: 20 consecutive patients with melanonychia were recruited. Inclusion criteria was melanonychia of sudden onset, progressive nature, irregular width/color/symmetry on dermoscopy, positive Hutchinson sign, solitary nail involvement or associated nail dystrophy. Preoperative dermoscopy was performed and recorded. Patients were planned for nail matrix biopsy, during which IOD was performed over nail matrix and bed after removal of the nail plate. Images were recorded and analyzed and correlated with the histopathology. Results: Out of 20 patients, 12 were females and 8 males. On IOD-histopathological correlation, 2 patients were found to have melanoma of the nail unit, 5had nail lichen planus, 9 had benign melanocytic nevi, and 4 had fungal melanonychia. IOD revealed fine, parallel and regular lines of pigmentation localized to proximal nail bed and matrix in all patients with benign melanonychia, while dark thick bands with irregular borders, dots, globules, streaks and structureless areas in the two patients with melanoma. Fungal melanonychia revealed an unremarkable nail bed and matrix on IOD. Conclusion: Intraoperative dermoscopycan help in determining the nature of melanonychia and obviate the need to perform biopsy in certain cases. It can also aid in delineating the most suitable site for biopsy, along with grossly assessing the extent of involvement in case of malignancy.
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Affiliation(s)
- Ishmeet Kaur
- Department of Dermatology and Venereology and Leprosy, ESI-PGIMSR Hospital, Basaidarapur, Delhi, India
| | - Sundeep Chowdhry
- Department of Dermatology and Venereology and Leprosy, ESI-PGIMSR Hospital, Basaidarapur, Delhi, India
| | - Paschal D'Souza
- Department of Dermatology and Venereology and Leprosy, ESI-PGIMSR Hospital, Basaidarapur, Delhi, India
| | - Deepak Jakhar
- Department of Dermatology and Venereology and Leprosy, NDMC and Hindu Rao Hospital, Delhi, India
| | - Mukesh Kumar Yadav
- Department of Dermatology and Venereology and Leprosy, ESI-PGIMSR Hospital, Basaidarapur, Delhi, India
| | - Onkar Kaur
- Department of Pathology, ESI-PGIMSR Hospital, Basaidarapur, Delhi, India
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Acharya P, Mathur M. Use of a mobile application to perform videodermatoscopy with a handheld dermatoscope. J Am Acad Dermatol 2019; 84:e139-e140. [PMID: 31604099 DOI: 10.1016/j.jaad.2019.06.1316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Revised: 06/11/2019] [Accepted: 06/14/2019] [Indexed: 10/25/2022]
Affiliation(s)
- Prakash Acharya
- College of Medical Sciences, Department of Dermatology, Bharatpur, Nepal.
| | - Mahesh Mathur
- College of Medical Sciences, Department of Dermatology, Bharatpur, Nepal
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Ibrahim ZA, Gheida SF, El Maghraby GM, Farag ZE. Evaluation of the efficacy and safety of combinations of hydroquinone, glycolic acid, and hyaluronic acid in the treatment of melasma. J Cosmet Dermatol 2015; 14:113-23. [PMID: 25847063 DOI: 10.1111/jocd.12143] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/06/2014] [Indexed: 11/26/2022]
Abstract
BACKGROUND Various treatments are currently available for melasma. However, results are often disappointing. OBJECTIVES 1 To assess the efficacy and safety of combinations of hydroquinone, glycolic acid, and hyaluronic acid in the treatment of melasma after topical application. 2 To evaluate the dermoscopy as a tool in diagnosis and follow-up of melasma treatment. PATIENTS AND METHODS One hundred patients with mild, moderate-to-severe melasma were divided into five groups. Group I (twenty patients were treated with cream formula containing 4% hydroquinone), group II (twenty patients were treated with cream formula containing 4% hydroquinone + 10% glycolic acid), group III (twenty patients were treated with cream formula containing 4% hydroquinone + 0.01% hyaluronic acid), group IV (twenty patients were treated with cream formula containing 4% hydroquinone + 10% glycolic acid + 0.01% hyaluronic acid), and group V (twenty patients were treated with placebo cream). All patients were subjected to dermoscopic examination and digital photographs before and after treatment. The response and side effects were evaluated. RESULTS Groups I, III, and IV showed highly significant changes in modified Melasma Area and Severity Index (mMASI) score after using the treatment. Group II showed significant change in mMASI score after using the treatment. The side effects were more reported in group II, followed by group IV, followed by group I, followed by group III. There was highly significant difference between the dermoscopic color findings before and after treatment. Vascularization was another dermoscopic finding. CONCLUSION A cream formula containing 4% hydroquinone + 10% glycolic acid + 0.01% hyaluronic acid was very effective in treatment of melasma with tolerable side effects. Dermoscope is a valuable noninvasive tool in the diagnosis and follow-up of melasma treatment.
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Affiliation(s)
- Zeinab A Ibrahim
- Dermatology and Venereology, Faculty of Medicine, Tanta University Hospital, Tanta, Egypt
| | - Shereen F Gheida
- Dermatology and Venereology, Faculty of Medicine, Tanta University Hospital, Tanta, Egypt
| | - Gamal M El Maghraby
- Pharmaceutical Technology, Faculty of Pharmacy, Tanta University, Tanta, Egypt
| | - Zeinab E Farag
- Dermatology and Venereology, Ministry of Health, El Mansora Hospital, Mansora, Egypt
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