Lallas A, Argenziano G, Apalla Z, Gourhant J Y, Zaballos P, Di Lernia V, Moscarella E, Longo C, Zalaudek I
Skin Cancer Unit, Arcispedale Santa Maria Nuova, Instituto di Ricovera e Cura a Carattere Scientifico (IRCCS), Reggio Emilia, Italy.
J Eur Acad Dermatol Venereol. 2014 May;28(5):609-14. doi: 10.1111/jdv.12146. Epub 2013 Mar 12.
Several common inflammatory dermatoses, such as rosacea, seborrheic dermatitis (SD), discoid lupus erythematosus (DLE) and granulomatous skin diseases manifest as erythematous macules or plaques on the facial skin. Although clinical examination represents the cornerstone of diagnosis, the broad variety of clinical features and uncommon presentations of these diseases may cause at times diagnostic and therapeutic uncertainty. Dermoscopy, in addition to its well-documented value in evaluation of skin tumours, is continuously gaining appreciation also in the field of general dermatology.
To describe and compare the dermoscopic patterns of common facial inflammatory skin diseases including SD, erythematotelangiectatic rosacea (ER), sarcoidosis, lupus vulgaris (LV), DLE and granuloma faciale (GF).
Dermoscopic images of lesions from patients with histopathologically confirmed diagnosis of SD, ER, sarcoidosis, LV, DLE or GF were retrospectively evaluated for the presence of several criteria. Selection of the dermoscopic variables included in the evaluation process was based on the data available in the literature and on our preliminary observations.
One hundred and fifteen dermoscopic images were included in the study. SD was dermoscopically characterized by dotted vessels and yellow scales, whereas ER was typified by a characteristic pattern of vascular polygons. Sarcoidosis and LV very commonly exhibited orange-yellowish areas and linear branching vessels. Features related to follicle abnormalities and linear branching vessels were the most common dermoscopic criteria of DLE and GF.
This study provides new insights into the dermoscopic variability in common facial inflammatory dermatoses.
几种常见的炎症性皮肤病，如玫瑰痤疮、脂溢性皮炎（SD）、盘状红斑狼疮（DLE）和肉芽肿性皮肤病，在面部皮肤上表现为红斑或斑块。尽管临床检查是诊断的基石，但这些疾病广泛的临床特征和不常见的表现有时可能导致诊断和治疗的不确定性。皮肤镜检查，除了在评估皮肤肿瘤方面有充分记录的价值外，在普通皮肤科领域也越来越受到重视。
描述和比较常见面部炎症性皮肤病的皮肤镜表现模式，包括脂溢性皮炎、红斑毛细血管扩张性玫瑰痤疮（ER）、结节病、寻常狼疮（LV）、盘状红斑狼疮和面部肉芽肿（GF）。
回顾性评估经组织病理学确诊为脂溢性皮炎、红斑毛细血管扩张性玫瑰痤疮、结节病、寻常狼疮、盘状红斑狼疮或面部肉芽肿患者病变的皮肤镜图像，以确定是否存在若干标准。评估过程中纳入的皮肤镜变量选择基于文献中的可用数据和我们的初步观察结果。
115张皮肤镜图像纳入研究。脂溢性皮炎在皮肤镜下的特征为点状血管和黄色鳞屑，而红斑毛细血管扩张性玫瑰痤疮的典型表现为特征性的血管多边形模式。结节病和寻常狼疮非常常见地表现为橙黄色区域和线性分支血管。与毛囊异常和线性分支血管相关的特征是盘状红斑狼疮和面部肉芽肿最常见的皮肤镜标准。
本研究为常见面部炎症性皮肤病的皮肤镜变异性提供了新的见解。
