Dermoscopy: a useful tool for the diagnosis of angiokeratoma.
Dermoscopy: a useful tool for the diagnosis of angiokeratoma.
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DOI：
10.5021/ad.2012.24.4.468
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发表时间：
2012-11
影响因子：
1.6
通讯作者：
Lee SH
中科院分区：
文献类型：
--
作者：
Kim JH;Kim MR;Lee SH;Lee SE;Lee SH
血管角化瘤是一种罕见的真皮上层血管畸形，临床表现为深红至蓝黑色，并倾向于采取多样化的配置没有自限性。在此，我们报告两例血管角化瘤的皮肤镜检查结果：孤立性血管角化瘤和局限性血管角化瘤。患者男，24岁，右头皮上有一个5毫米大小的黑色丘疹，病程2个月。一种皮肤镜模式，特征为红色和黑色的陷窝，白色的面纱覆盖着鳞片。患者女，26岁。颈部前叶多发2~10 mm深红色带状疱疹样丘疹。皮肤镜下表现为红色陷窝与白色面纱混合。如前所述，我们的两个病例是皮肤镜下最常见的血管角化瘤，红色陷窝和白色面纱。血管角化瘤通常被诊断为黑色素细胞痣、Spitz痣、恶性黑色素瘤、色素性基底细胞癌、脂溢性角化病、皮肤纤维瘤和其他血管病变，包括血管瘤和化脓性肉芽肿。然而，在皮肤镜下，这些病变几乎没有显示红色陷窝与白色面纱。因此，皮肤镜检查是鉴别血管角化瘤的有效方法。
Angiokeratoma is a rare vascular malformation of the upper dermis that presents clinically as deep red to blue-black in color and tends to take a diverse configuration without self-limiting. Here, we reported dermoscopic findings by two cases of angiokeratoma; solitary angiokeratoma and angiokeratoma circumscriptum. A 24-year-old male presented with a 2-months history of 5 mm sized black colored papule on the right buttock. A dermoscopic pattern characterized by red and dark lacunae, whitish veil covered with scale. A 26-year-old woman presented with multiple, 2~10 mm, dark colored papules on the anterior neck with zosteriform fashion since childhood. A dermoscopic pattern presented by red lacunae intermingled with whitish veil. As a previous report, our two cases was the most common dermoscopic pattern of angiokeratoma; red lacunae and whitish veil. Angiokeratoma is often diagnosed as melanocytic nevi, Spitz nevi, malignant melanomas, pigmented basal cell carcinomas, seborrheic keratoses, dermatofibromas and other vascular lesions including hemangiomas and pyogenic granulomas. However, in the dermoscopic view, these above lesions hardly show red lacunae with whitish veils. Therefore, the dermscopic view is a useful differential method of angiokeratoma.
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影响因子：
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作者：
Zaballos, Pedro;Daufi, Cinta;Malvehy, Josep
通讯作者：
Malvehy, Josep
影响因子：
3.1
作者：
Sakakibara, Akihiro;Kamijima, Michihiro;Tomita, Yasushi
通讯作者：
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影响因子：
3.6
作者：
Campos-do-Carmo, Gabriella;Ramos-e-Silva, Marcia
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Ramos-e-Silva, Marcia
影响因子：
2.7
作者：
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通讯作者：
Wolf, IH
影响因子：
10.3
作者：
Zaballos, P;Llambrich, A;Malvehy, J
通讯作者：
Malvehy, J