Taheri Ahmad Reza, Pishgooei Nasibeh, Maleki Masoud, Goyonlo Vahid Mashayekhi, Kiafar Bita, Banihashemi Mahnaz, Khajedaluee Mohammad
Cutaneous Leishmaniasis Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Dermatol. 2013 Nov;52(11):1361-6. doi: 10.1111/ijd.12114. Epub 2013 Aug 22.
Previous studies have demonstrated that dermoscopy improves accuracy in diagnosing pigmented and non-pigmented tumors. Recently, there has been increasing evidence that dermoscopy can also be useful in the diagnosis of some skin infections.
We sought to describe the dermoscopic features of cutaneous leishmaniasis.
Dermoscopic examination (using the Derm Lite FOTO, 3Gen) of 144 CL lesions in 82 patients was performed. This study was conducted in the Imam Reza and Ghaem hospitals (Mashhad, Iran) from October 2010 to September 2011.
We observed the following dermoscopic features: generalized erythema (81.9%), white starbursts (60.4%), yellow hue (43.8%), yellow teardrop-like structures (41.7%), central ulcers (59%), hyperkeratosis (33.3%), and milia-like cysts (4.9%). We also observed vascular structures, including dotted vessels (61.1%), hairpin vessels (37.5%), linear irregular vessels (30.6%), comma-shaped vessels (29.9%), glomerular vessels (22.9%), arborizing telangiectasia (10.4%), and corkscrew vessels (4.2%).
Biopsy and pathologic evaluation were not performed due to ethical considerations.
Important vascular patterns seen in melanocytic and non-melanocytic tumors were frequently observed in this infection. Dermoscopy may be a promising tool to predict the clinical course in cases of cutaneous leishmaniasis.
先前的研究表明，皮肤镜检查可提高色素性和非色素性肿瘤的诊断准确性。最近，越来越多的证据表明皮肤镜检查在某些皮肤感染的诊断中也可能有用。
我们试图描述皮肤利什曼病的皮肤镜特征。
对82例患者的144处皮肤利什曼病皮损进行了皮肤镜检查（使用Derm Lite FOTO，3Gen）。本研究于2010年10月至2011年9月在伊朗马什哈德的伊玛目礼萨医院和加姆医院进行。
我们观察到以下皮肤镜特征：全身性红斑（81.9%）、白色星芒状（60.4%）、黄色调（43.8%）、黄色泪滴状结构（41.7%）、中央溃疡（59%）、角化过度（33.3%）和粟丘疹样囊肿（4.9%）。我们还观察到血管结构，包括点状血管（61.1%）、发夹状血管（37.5%）、线性不规则血管（30.6%）、逗号状血管（29.9%）、肾小球样血管（22.9%）、树枝状毛细血管扩张（10.4%）和螺旋状血管（4.2%）。
出于伦理考虑未进行活检和病理评估。
在这种感染中经常观察到黑素细胞性和非黑素细胞性肿瘤中所见的重要血管模式。皮肤镜检查可能是预测皮肤利什曼病病例临床病程的一种有前景的工具。
