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

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

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..

Medienart:	E-Artikel

Erscheinungsjahr:	2020
Erschienen:	2020

Enthalten in:	Zur Gesamtaufnahme - volume:30
Enthalten in:	European journal of dermatology - 30(2020), 6 vom: Nov., Seite 688-698

Sprache:	Englisch

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

Links:	Volltext [kostenfrei]

BKL:	44.93$jDermatologie

Anmerkungen:	© The Author(s) 2020

doi:	10.1684/ejd.2020.3928

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	OLC2123619981

Internformat


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

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