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Errichetti, E; Ankad, BS; Sonthalia, S; Jha, AK; Keshavamurthy, V; Kyrgidis, A; Neema, S; Chatterjee, M; Kaliyadan, F; Dogra, S; Khare, S; Kelati, A; Akay, BN; Cabo, H; Bhat, YJ; Bosseila, M; Gupta, A; Nair, P; Gaikwad, S; Jayasree, P; Sabban, ENC; Stinco, G; Apalla, Z; Zalaudek, I; Lallas, A.
Dermoscopy in general dermatology (non-neoplastic dermatoses) of skin of colour: a comparative retrospective study by the International Dermoscopy Society.
Eur J Dermatol. 2020; 30(6):688-698
Doi: 10.1684/ejd.2020.3928
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
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Zalaudek Iris
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- Abstract:
- 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.
- Find related publications in this database (using NLM MeSH Indexing)
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Dermoscopy - administration & dosage
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Humans - administration & dosage
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International Cooperation - administration & dosage
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Retrospective Studies - administration & dosage
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Skin Diseases - pathology
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Skin Pigmentation - administration & dosage
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Societies, Medical - administration & dosage
- Find related publications in this database (Keywords)
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dark skin
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dermoscopy
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diagnosis
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granulomatous dermatoses
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inflammoscopy
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inflammatory dermatoses
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pigmentary skin disorders