Limits...
Dermoscopy in General Dermatology: A Practical Overview

View Article: PubMed Central - PubMed

ABSTRACT

Over the last few years, dermoscopy has been shown to be a useful tool in assisting the noninvasive diagnosis of various general dermatological disorders. In this article, we sought to provide an up-to-date practical overview on the use of dermoscopy in general dermatology by analysing the dermoscopic differential diagnosis of relatively common dermatological disorders grouped according to their clinical presentation, i.e. dermatoses presenting with erythematous-desquamative patches/plaques (plaque psoriasis, eczematous dermatitis, pityriasis rosea, mycosis fungoides and subacute cutaneous lupus erythematosus), papulosquamous/papulokeratotic dermatoses (lichen planus, pityriasis rosea, papulosquamous sarcoidosis, guttate psoriasis, pityriasis lichenoides chronica, classical pityriasis rubra pilaris, porokeratosis, lymphomatoid papulosis, papulosquamous chronic GVHD, parakeratosis variegata, Grover disease, Darier disease and BRAF-inhibitor-induced acantholytic dyskeratosis), facial inflammatory skin diseases (rosacea, seborrheic dermatitis, discoid lupus erythematosus, sarcoidosis, cutaneous leishmaniasis, lupus vulgaris, granuloma faciale and demodicidosis), acquired keratodermas (chronic hand eczema, palmar psoriasis, keratoderma due to mycosis fungoides, keratoderma resulting from pityriasis rubra pilaris, tinea manuum, palmar lichen planus and aquagenic palmar keratoderma), sclero-atrophic dermatoses (necrobiosis lipoidica, morphea and cutaneous lichen sclerosus), hypopigmented macular diseases (extragenital guttate lichen sclerosus, achromic pityriasis versicolor, guttate vitiligo, idiopathic guttate hypomelanosis, progressive macular hypomelanosis and postinflammatory hypopigmentations), hyperpigmented maculopapular diseases (pityriasis versicolor, lichen planus pigmentosus, Gougerot-Carteaud syndrome, Dowling-Degos disease, erythema ab igne, macular amyloidosis, lichen amyloidosus, friction melanosis, terra firma-forme dermatosis, urticaria pigmentosa and telangiectasia macularis eruptiva perstans), itchy papulonodular dermatoses (hypertrophic lichen planus, prurigo nodularis, nodular scabies and acquired perforating dermatosis), erythrodermas (due to psoriasis, atopic dermatitis, mycosis fungoides, pityriasis rubra pilaris and scabies), noninfectious balanitis (Zoon’s plasma cell balanitis, psoriatic balanitis, seborrheic dermatitis and non-specific balanitis) and erythroplasia of Queyrat, inflammatory cicatricial alopecias (scalp discoid lupus erythematosus, lichen planopilaris, frontal fibrosing alopecia and folliculitis decalvans), nonscarring alopecias (alopecia areata, trichotillomania, androgenetic alopecia and telogen effluvium) and scaling disorders of the scalp (tinea capitis, scalp psoriasis, seborrheic dermatitis and pityriasis amiantacea).

No MeSH data available.


Related in: MedlinePlus

Dermoscopy of Darier-like Grover disease displays a central branched polygonal brownish area surrounded by a thin whitish halo with peripheral dotted vessels (black circle) (a), while spongiotic Grover disease presents with whitish scaling over a reddish-yellowish background and irregular vessels (black circle) (b). Dermoscopic examination of Darier disease (c) and BRAF-inhibitor-induced acantholytic dyskeratosis (d) shows a pattern similar to that observed in Darier-like Grover disease, with a centrally located polygonal brownish area surrounded by a whitish halo and linear vessels (black arrow) in Darier disease (c) and a central branched polygonal brownish area surrounded by a thin whitish halo in the latter condition (d)
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC5120630&req=5

Fig3: Dermoscopy of Darier-like Grover disease displays a central branched polygonal brownish area surrounded by a thin whitish halo with peripheral dotted vessels (black circle) (a), while spongiotic Grover disease presents with whitish scaling over a reddish-yellowish background and irregular vessels (black circle) (b). Dermoscopic examination of Darier disease (c) and BRAF-inhibitor-induced acantholytic dyskeratosis (d) shows a pattern similar to that observed in Darier-like Grover disease, with a centrally located polygonal brownish area surrounded by a whitish halo and linear vessels (black arrow) in Darier disease (c) and a central branched polygonal brownish area surrounded by a thin whitish halo in the latter condition (d)

Mentions: Grover disease may display different features according to the histological subtype, with a central star-shaped/branched polygonal/roundish-oval brownish area surrounded by a whitish halo being characteristic of the Darier-like histological subtype (Fig. 3a) and whitish scaling over a reddish-yellowish background being characteristic of the spongiotic histological subtype (Fig. 3b); dotted and/or linear/irregular vessels may be found in both such forms (Fig. 3a, b) [52–55]. Importantly, the dermoscopic pattern of Darier-like Grover disease overlaps with that detectable in both Darier disease and BRAF-inhibitor-induced acantholytic dyskeratosis (Fig. 3c, d) [55–58].Fig. 3


Dermoscopy in General Dermatology: A Practical Overview
Dermoscopy of Darier-like Grover disease displays a central branched polygonal brownish area surrounded by a thin whitish halo with peripheral dotted vessels (black circle) (a), while spongiotic Grover disease presents with whitish scaling over a reddish-yellowish background and irregular vessels (black circle) (b). Dermoscopic examination of Darier disease (c) and BRAF-inhibitor-induced acantholytic dyskeratosis (d) shows a pattern similar to that observed in Darier-like Grover disease, with a centrally located polygonal brownish area surrounded by a whitish halo and linear vessels (black arrow) in Darier disease (c) and a central branched polygonal brownish area surrounded by a thin whitish halo in the latter condition (d)
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC5120630&req=5

Fig3: Dermoscopy of Darier-like Grover disease displays a central branched polygonal brownish area surrounded by a thin whitish halo with peripheral dotted vessels (black circle) (a), while spongiotic Grover disease presents with whitish scaling over a reddish-yellowish background and irregular vessels (black circle) (b). Dermoscopic examination of Darier disease (c) and BRAF-inhibitor-induced acantholytic dyskeratosis (d) shows a pattern similar to that observed in Darier-like Grover disease, with a centrally located polygonal brownish area surrounded by a whitish halo and linear vessels (black arrow) in Darier disease (c) and a central branched polygonal brownish area surrounded by a thin whitish halo in the latter condition (d)
Mentions: Grover disease may display different features according to the histological subtype, with a central star-shaped/branched polygonal/roundish-oval brownish area surrounded by a whitish halo being characteristic of the Darier-like histological subtype (Fig. 3a) and whitish scaling over a reddish-yellowish background being characteristic of the spongiotic histological subtype (Fig. 3b); dotted and/or linear/irregular vessels may be found in both such forms (Fig. 3a, b) [52–55]. Importantly, the dermoscopic pattern of Darier-like Grover disease overlaps with that detectable in both Darier disease and BRAF-inhibitor-induced acantholytic dyskeratosis (Fig. 3c, d) [55–58].Fig. 3

View Article: PubMed Central - PubMed

ABSTRACT

Over the last few years, dermoscopy has been shown to be a useful tool in assisting the noninvasive diagnosis of various general dermatological disorders. In this article, we sought to provide an up-to-date practical overview on the use of dermoscopy in general dermatology by analysing the dermoscopic differential diagnosis of relatively common dermatological disorders grouped according to their clinical presentation, i.e. dermatoses presenting with erythematous-desquamative patches/plaques (plaque psoriasis, eczematous dermatitis, pityriasis rosea, mycosis fungoides and subacute cutaneous lupus erythematosus), papulosquamous/papulokeratotic dermatoses (lichen planus, pityriasis rosea, papulosquamous sarcoidosis, guttate psoriasis, pityriasis lichenoides chronica, classical pityriasis rubra pilaris, porokeratosis, lymphomatoid papulosis, papulosquamous chronic GVHD, parakeratosis variegata, Grover disease, Darier disease and BRAF-inhibitor-induced acantholytic dyskeratosis), facial inflammatory skin diseases (rosacea, seborrheic dermatitis, discoid lupus erythematosus, sarcoidosis, cutaneous leishmaniasis, lupus vulgaris, granuloma faciale and demodicidosis), acquired keratodermas (chronic hand eczema, palmar psoriasis, keratoderma due to mycosis fungoides, keratoderma resulting from pityriasis rubra pilaris, tinea manuum, palmar lichen planus and aquagenic palmar keratoderma), sclero-atrophic dermatoses (necrobiosis lipoidica, morphea and cutaneous lichen sclerosus), hypopigmented macular diseases (extragenital guttate lichen sclerosus, achromic pityriasis versicolor, guttate vitiligo, idiopathic guttate hypomelanosis, progressive macular hypomelanosis and postinflammatory hypopigmentations), hyperpigmented maculopapular diseases (pityriasis versicolor, lichen planus pigmentosus, Gougerot-Carteaud syndrome, Dowling-Degos disease, erythema ab igne, macular amyloidosis, lichen amyloidosus, friction melanosis, terra firma-forme dermatosis, urticaria pigmentosa and telangiectasia macularis eruptiva perstans), itchy papulonodular dermatoses (hypertrophic lichen planus, prurigo nodularis, nodular scabies and acquired perforating dermatosis), erythrodermas (due to psoriasis, atopic dermatitis, mycosis fungoides, pityriasis rubra pilaris and scabies), noninfectious balanitis (Zoon’s plasma cell balanitis, psoriatic balanitis, seborrheic dermatitis and non-specific balanitis) and erythroplasia of Queyrat, inflammatory cicatricial alopecias (scalp discoid lupus erythematosus, lichen planopilaris, frontal fibrosing alopecia and folliculitis decalvans), nonscarring alopecias (alopecia areata, trichotillomania, androgenetic alopecia and telogen effluvium) and scaling disorders of the scalp (tinea capitis, scalp psoriasis, seborrheic dermatitis and pityriasis amiantacea).

No MeSH data available.


Related in: MedlinePlus