Details

Autor(en) / Beteiligte

• Errichetti, Enzo
• Ankad, Balachandra Suryakant
• Sonthalia, Sidharth
• Jha, Abhijeet Kumar
• Keshavamurthy, Vinay
• Kyrgidis, Athanassios
• Neema, Shekhar
• Chatterjee, Manas
• Kaliyadan, Feroze
• Dogra, Sunil
• Khare, Soumil
• Kelati, Awatef
• Akay, Bengu Nisa
• Cabo, Horacio
• Bhat, Yasmeen Jabeen
• Bosseila, Manal
• Gupta, Atula
• Nair, Pragya
• Gaikwad, Sakshi
• Jayasree, Puravoor
• Sabban, Emilia Noemi Cohen
• Stinco, Giuseppe
• Apalla, Zoe
• Zalaudek, Iris
• Lallas, Aimilios

Titel

Dermoscopy in general dermatology (non-neoplastic dermatoses) of skin of colour: a comparative retrospective study by the International Dermoscopy Society

Ist Teil von

• EJD. European journal of dermatology, 2020-12, Vol.30 (6), p.688-698

Ort / Verlag

Paris: John Libbey Eurotext

Erscheinungsjahr

2020

Quelle

MEDLINE

Beschreibungen/Notizen

• Background Dermoscopy has been shown to be a useful supportive tool to assist the diagnosis of several non-neoplastic dermatoses ( i.e. inflammatory, infiltrative and infectious skin diseases), yet data on skin of colour is still limited. Objectives To characterize dermoscopic features of non-neoplastic dermatoses in dark-skinned patients in order to identify possible clues that may facilitate the differential diagnosis of clinically similar conditions. Materials & Methods Members of the International Dermoscopy Society were invited to submit cases of any non-neoplastic dermatosis developing in patients with Fitzpatrick Phototypes V–VI whose diagnosis had been confirmed by the corresponding gold standard diagnostic test. A standardized assessment of the dermoscopic images and a comparative analysis according to clinical presentation were performed. Seven clinical categories were identified: (I) papulosquamous dermatoses; (II) facial hyperpigmented dermatoses; (III) extra-facial hyperpigmented dermatoses; (IV) hypopigmented dermatoses; (V) granulomatous dermatoses; (VI) sclerotic dermatoses; and (VII) facial inflammatory dermatoses. Results A total of 653 patients (541 and 112 with Phototype V and VI, respectively) were recruited for the analysis. Thirty-six statistically significant dermoscopic features were identified for papulosquamous dermatoses, 24 for facial hyperpigmented disorders, 12 for extra-facial hyperpigmented disorders, 17 for hypopigmented disorders, eight for granulomatous dermatoses, four for sclerotic dermatoses and 17 for facial inflammatory diseases. Conclusion Our findings suggest that dermoscopy might be a useful tool in assisting the diagnosis of clinically similar non-neoplastic dermatoses in dark phototypes by revealing characteristic clues. Study limitations include the retrospective design, the lack of a direct dermoscopic-histological correlation analysis and the small sample size for less common diseases.