Dermoscopic patterns of common facial inflammatory skin diseases

International Journal of Research in Dermatology

The attractiveness of the human body has always been an important issue in the fields of sociology, psychology, psychiatry and also in the field of dermatology. Because in most societies the face is usually a body part that is visible, imperfections of its skin is also visible, therefore its flawed appearance bears the potential to become a source of misery to some. The objective of the study was to study the various dermatological conditions affecting the face. Methods: A cross-sectional study was conducted among 200 patients with facial dermatoses during the period Dec-2014 to May-2016. Patients belonging to age group 12 years and above and both sexes were randomly selected and included in the study after taking their consent. Results: Out of the facial dermatoses, 75 patients had infections of the face comprising 37% of the total facial dermatoses with tinea faciei being the most common individual facial skin condition comprising 18%. Skin tumors and cysts and miscellaneous conditions of the face comprised 15% each of the total facial dermatoses. This was followed by contact dermatitis (9%), photodermatoses (8.5%), Rosacea in 5.5% of patients, Nevi in 5% of patients and pigmentary disorders being the least common facial dermatoses comprising 4.5%. Conclusions: It is worthwhile to take note of the special nature of facial skin and the disorders that affect it.

Anais Brasileiros de Dermatologia, 2018

Granuloma faciale is a rare, chronic dermatologic disorder, which mainly affects the face. Recently, dermoscopy has been demonstrated as an important ancillary tool on the clinical diagnosis of facial dermatoses. We report two cases of granuloma faciale with yellow areas on dermoscopy that was not yet described in the literature, corresponding to abundant hemosiderin on histopathological examination.

EMJ Dermatology

The use of dermoscopy in general dermatological practice has recently increased. Its non-invasive nature means it is being practiced frequently by dermatologists to diagnose various skin conditions. Dermoscopy, also known as dermatoscopy, allows dermatologists to quickly visualise skin structures up to the papillary dermis level. The skin patterns seen under dermoscopy are usually due to pigment and vascular structures; melanin and haemoglobin play major roles and give different patterns depending on the skin condition and pathological changes. Many inflammatory diseases are encountered by clinicians in daily practice; at times they are indistinguishable to the naked eye and a biopsy is required to confirm the diagnosis. Dermoscopy is a useful tool in the diagnosis and differentiation of inflammatory skin conditions and is aptly termed inflammoscopy when used in these situations. Inflammoscopy demonstrates the distinct characteristic patterns of many conditions and aids accurate dia...

Clinics in Dermatology, 2002

Dermatology practical & conceptual, 2024

Dermoscopic findings are used to diagnose and evaluate disease activity in patients with cutaneous lupus erythematosus (CLE). Objectives: This study aimed to characterize the dermoscopic features of discoid LE (DLE) and LE tumidus (LET) by lesion duration and CLE Disease Area and Severity Index (CLASI) scores and to examine the dermoscopic findings of lesions in different locations in DLE patients. Methods: Dermoscopic findings (follicular features, perifollicular surface, interfollicular features, and vessel pattern) were assessed and lesion duration (≤12 and >12 months) and CLASI scores (grouped as mild or moderate) were calculated. DLE lesion locations were categorized as, non-scalp, scalp and lip. Results: Forty-eight dermoscopic images from 35 DLE and 4 LET patients were analyzed. The most common dermoscopic findings in non-scalp DLE were follicular keratotic plugs (82.8%) and white scales (69%). In scalp DLE (n=9), the most common findings were absent follicular openings (77.8%), white structureless areas (77.8%), and perifollicular scaling (66.7%). All LET patients had pink-white background and linear vessels. Follicular plugs, peripheral pigmentation, and polymorphous vessels were lower in patients with mild CLASI activity than moderate activity (P = 0.036, 0.039, and 0.019, respectively). Fibrotic white dots, honeycomb pigment pattern, and blue-gray dots/globules were lower in those with mild CLASI damage scores than moderate damage (P = 0.010, 0.010, and 0.020, respectively). Peripheral pigmentation was more common in patients with lesion duration ≤12 months, while blue-gray dots/globules were more common with lesion durations >12 months. Conclusions: Certain dermoscopic features may facilitate the differential diagnosis of DLE and LET.

Anais Brasileiros de Dermatologia, 2013

The granuloma faciale is a rare and benign skin disease of unknown etiology, characterized by chronic leukocitoclastic vasculitis. It is characterized by skin lesions predominantly facial whose course is chronic and slowly progressive. The diagnosis is based on clinical features, histopathology and, more recently, in dermoscopy. We describe the case of a male patient, 40 years old, with a sarcoid lesion on the malar site, whose histopathological examination revealed a mixed inflammatory infiltrate with presence of Grenz zone. Dermoscopy revealed a pink background with white striations. The definitive diagnosis is made by histopathologic evaluation, and dermatoscopy can be helpful. It is known to be resistant to therapy, oral medications, intralesional and surgical procedures are options.

Journal of Clinical Medicine, 2024

Subacute cutaneous lupus erythematosus (SCLE) is a condition that might pose a diagnostic challenge. The aim of this study was to assess the usefulness of videodermoscopy in the differentiation of SCLE from other erythematous-desquamative dermatoses. Consecutive patients with SCLE (n = 27), psoriasis (n = 36), nummular eczema (n = 30), mycosis fungoides (n = 26), and pityriasis rosea (n = 20) referred to our Department of Dermatology were recruited for this study. A representative lesion was visualized using a Canfield D200 EVO Videodermatoscope (Canfield Scientific GmbH, Bielefeld, Germany) and evaluated for the following parameters: vessels (morphology and distribution), scales (color and distribution), follicular findings, colors and morphologies, and presence of specific clues. SCLE was predominantly characterized by a polymorphous vascular pattern (92.6%) of unspecific distribution (92.6%) over a pink-red background (74.1%). Gray-brown dots were present in 10 (37.0%) cases, and pigmentation was noted in 15 (55.6%) patients, including peripheral pigmentation in 7 (25.9%) patients. Videodermoscopic evaluation showed significant differences between SCLE and psoriasis, which was characterized by regularly distributed dotted vessels. Although some common dermoscopic features with MF were noted, the presence of yellow structureless areas and red dots/globules favored the diagnosis of MF. In conclusion, a polymorphic vascular pattern, especially in association with gray-brown dots and/or peripheral pigmentation, is a valuable clue for the differentiation of SCLE from other erythematous-desquamative dermatoses.

Dermatology, 2006

Dermoscopy improves the diagnostic accuracy in the clinical evaluation of pigmented skin lesions, but it is also useful for the assessment of vascular structures that are not visible to the naked eye. As a consequence, dermoscopy has been employed more and more for the differential diagnosis of nonpigmented skin disorders, including tumors but also infl ammatory and infectious diseases. This article provides a review of the dermoscopic features seen in various nonpigmented tumoral and nontumoral skin lesions as well as the dermoscopic criteria used for monitoring skin reactions to various treatments.

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2013

The skin biopsy is an important diagnostic tool in dermatology because it establishes a definite diagnosis and also monitors the therapy in many systemic diseases. The microscopic features involving superficial inflammatory dermatitis are very similar, but treatment varies, hence the diagnosis of the skin biopsy requires meticulous, clinical and histopathological work up. One hundred and fifty one consecutive skin biopsy specimens where a superficial inflammatory dermatosis has been queried by Dermatologists are reviewed. The lesions of superficial inflammatory dermatosis are classified based on the integration of different morphological features into three types of tissue reactions ie. Spongiotic dermatitis, lichenoid dermatitis and psoriasiform dermatitis. Histopathological diagnosis is concluded after coorelating with clinical features, which either confirms, contributes or noncontributory to the clinical diagnosis. The study revealed that the Psoriasiform Dermatitis is the most ...

Journal of Pakistan Association of Dermatology, 2020

Background Dermoscope is a non-invasive diagnostic tool, allowing rapid and magnified in-vivo observation of the skin. Certain combinations and characteristic patterns of dermoscopic features of papulosquamous diseases are more predictive for their diagnosis. Aims To study and correlate the dermoscopic features of non-infectious papulosquamous di`seases of skin and compare the findings in our study with previous studies. Materials and Methods A cross-sectional study, including total of 240 cases, 125 males and 115 females, of all ages was done for a period of 2 years. The dermoscopic features and histopathological finding of the lesions from each patient were analysed. Descriptive and inferential statistical analysis has been carried out in the present study. Results There was a statistically significant difference in dermoscopic patterns between psoriasis, eczema, lichen planus and pityriasis rosea groups as determined by one-way ANOVA. An analysis of variance showed the significant effect of background color, type of vessels, pattern of vessels, scale color, scale distribution and wikhams striae in the diagnosis. Dermoscopic diagnosis was of 87 (87.7%) in case of psoriasis, 48 (84.2%) in case of eczema, 56 (93.3%) in case of lichen planus and 21 (84%) in case of pityriasis rosea. Overall positive clinico-histopathological and dermoscopic correlation of 88.3% was observed. Conclusion Clinical use of dermoscopy in inflammatory dermatosis improves diagnostic ability and improves fundamental aspects of daily practice such as improvement of morphologic knowledge for visual tele-dermatology and in addition plays a psychological placebo effect on patients suffering from common inflammatory dermatosis.

International Journal of Dermatology, 2013

Journal of the European Academy of Dermatology and Venereology, 2019

Journal of pharmaceutical research international, 2022

This work was carried out in collaboration among all authors. Author SBK, SB and HBA were involved in conception of idea and study design. Author EE did data collection and performed bench work. HBA performed the statistical analysis. Authors HM and HS managed the literature searches. All authors read and approved the final manuscript.

Dermatology Practical & Conceptual, 2019

The technique of dermoscopy has come a long way since its inception for characterization of suspicious nevi for early detection of dysplastic changes in predisposed individuals. Not only has its scope expanded to aid in quick diagnosis of a majority of nonmelanocytic disorders of the skin, hair, and nails, but it is being rightfully exploited for a plethora of nondiagnostic uses. Its use in the diagnosis of various pigmentary, papulosquamous, and infectious disorders and disorders of the scalp and hair, nails, and mucosa bears testimony to the ongoing expansion of its protean indications across skin types. Dermoscopy has transformed the conventional approach to dermatological diagnosis from clinicopathological correlation to clinico-dermoscopic-pathological correlation. It aids in convincing an otherwise reluctant patient to agree to biopsy and guides the selection of optimum site for the same. Dermoscopic clues suggestive of stability or activity of the lesion and/or disease in var...