Department of Dermatology, Casa Sollievo della Sofferenza Hospital-IRCCS, San Giovanni Rotondo, Italy.
Dermatology. 2010 Aug;221(1):51-4. doi: 10.1159/000284584. Epub 2010 Apr 8.
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.
Our purpose was to evaluate the usefulness of dermoscopy in the differential diagnosis of CS.
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.
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.
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.
皮肤结节病（CS）的临床表现多种多样，这使得其正确诊断具有挑战性。尽管传统上用于诊断皮肤肿瘤，但近年来，皮肤镜检查作为一种辅助手段，在一般皮肤科中用于诊断炎症和感染性皮肤表现也越来越受到关注。
我们旨在评估皮肤镜在 CS 鉴别诊断中的作用。
这是对 2005 年至 2009 年在法国和意大利皮肤科诊所收集的 7 例 CS 的临床和皮肤镜图像进行的回顾性分析。
回顾性皮肤镜评估显示，7 例均存在小的、聚集的、半透明的橙色球状结构，伴有不同直径的线性血管。在 5 例中，还可见到中央瘢痕样区域。
表现为皮肤镜下半透明的黄色至橙色球状或无结构样区域，伴有线性血管的病变，应提示包括 CS 在内的肉芽肿性皮肤病。
