Cook Lauren C, Hanna Courtney, Foulke Galen T, Seiverling Elizabeth V
Drs. Cook, Foulke, and Seiverling are with the Department of Dermatology.
Dr. Seiverling is also with the Department of Family and Community Medicine.
J Clin Aesthet Dermatol. 2018 Apr;11(4):41-42. Epub 2018 Apr 1.
Dermoscopy is well established as a tool to improve the detection of cancerous skin growths. Published data suggest that dermoscopy might be useful in evaluating inflammatory dermatoses and in distinguishing between rashes and skin cancer. The authors sought to review the published literature regarding use of dermoscopy in the evaluation of inflammatory skin conditions. Using a systematic approach, the authors performed a literature search using the names of 146 inflammatory dermatoses and pairing each one separately with the search terms and After eliminating those papers that did not meet inclusion requirements, the authors identified 201 studies for their review, with the majority consisting of case reports. The most commonly studied inflammatory conditions were psoriasis, lupus, and lichen planus. There was congruence among the studies identified in terms of the most common dermoscopic findings for each of these diseases. The use of dermoscopy in the evaluation of inflammatory dermatoses is a promising option. However, more rigorous studies are needed to determine the sensitivity and specificity of the dermoscopic findings for many inflammatory skin conditions.
皮肤镜已被公认为是一种改善皮肤癌性肿物检测的工具。已发表的数据表明,皮肤镜可能有助于评估炎症性皮肤病,并区分皮疹和皮肤癌。作者试图回顾已发表的关于使用皮肤镜评估炎症性皮肤病的文献。作者采用系统的方法,使用146种炎症性皮肤病的名称进行文献检索,并将每种疾病分别与检索词“皮肤镜检查”和“炎症性皮肤病”配对。在剔除不符合纳入要求的论文后,作者确定了201项研究进行综述,其中大多数为病例报告。研究最多的炎症性疾病是银屑病、狼疮和扁平苔藓。就这些疾病各自最常见的皮肤镜检查结果而言,所确定的研究之间存在一致性。使用皮肤镜评估炎症性皮肤病是一个有前景的选择。然而,需要更严格的研究来确定许多炎症性皮肤病的皮肤镜检查结果的敏感性和特异性。