Dermoscopy of Cutaneous Sarcoidosis
Dermoscopy of Cutaneous Sarcoidosis
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DOI：
10.1159/000284584
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发表时间：
2010-01-01
期刊：
影响因子：
3.4
通讯作者：
Zalaudek, Iris
中科院分区：
文献类型：
--
作者：
Pellicano, Riccardo;Tiodorovic-Zivkovic, Danica;Zalaudek, Iris
背景：皮肤结节病(CS)的临床变异性使其正确诊断具有挑战性。尽管皮肤镜传统上用于皮肤肿瘤的诊断，但在过去的几年里，皮肤镜在普通皮肤科对炎症性和感染性皮肤表现的临床诊断中也越来越受到关注。目的：评价皮肤镜在CS鉴别诊断中的价值。方法：回顾分析2005-2009年间在法国和意大利皮肤科诊所收集的7张CS的临床和皮肤镜图像。结果：回溯性皮肤镜检查显示，所有7例患者均有小而成组的半透明橙色球状结构，并伴有不同直径的线性血管。5例可见中央增生性瘢痕样区。结论：皮肤镜下表现为半透明的黄色至橙色球状或无结构的区域伴有线状血管的病变应引起包括CS在内的肉芽肿性皮肤病的怀疑。版权所有(C)2010 S.Karger AG，巴塞尔
Background: The clinical variability of cutaneous sarcoidosis (CS) often makes its correct diagnosis challenging. Although traditionally employed for the diagnosis of skin tumors, during the past years dermoscopy also gained increasing interest as an aid in the clinical diagnosis of inflammatory and infectious skin manifestations in general dermatology. Objective: Our purpose was to evaluate the usefulness of dermoscopy in the differential diagnosis of CS. Methods: This was a retrospective analysis of 7 clinical and dermoscopic images of CS that were collected at dermatology clinics in France and Italy between 2005 and 2009. Results: Retrospective dermoscopic evaluation revealed small grouped, translucent orange globular structures associated with linear vessels of variable diameter in all 7 cases. In 5 cases, additional central scar-like areas were seen. Conclusion: Lesions showing dermoscopically translucent yellow to orange globular-like or structureless areas associated with linear vessels should raise the suspicion of a granulomatous skin disease, including CS. Copyright (C) 2010 S. Karger AG, Basel