Sonthalia Sidharth, Pasquali Paola, Agrawal Mahima, Sharma Poonam, Jha Abhijeet K, Errichetti Enzo, Lallas Aimilios, Sehgal Virendra N
SKINNOCENCE: The Skin Clinic & Research Centre, Gurugram, India.
Department of Dermatology, Pius Hospital de Valls, Tarragona, Spain.
Dermatol Pract Concept. 2019 Oct 31;9(4):253-264. doi: 10.5826/dpc.0904a02. eCollection 2019 Oct.
The technique of dermoscopy has come a long way since its inception for characterization of suspicious nevi for early detection of dysplastic changes in predisposed individuals. Not only has its scope expanded to aid in quick diagnosis of a majority of nonmelanocytic disorders of the skin, hair, and nails, but it is being rightfully exploited for a plethora of nondiagnostic uses. Its use in the diagnosis of various pigmentary, papulosquamous, and infectious disorders and disorders of the scalp and hair, nails, and mucosa bears testimony to the ongoing expansion of its protean indications across skin types. Dermoscopy has transformed the conventional approach to dermatological diagnosis from clinicopathological correlation to clinico-dermoscopic-pathological correlation. It aids in convincing an otherwise reluctant patient to agree to biopsy and guides the selection of optimum site for the same. Dermoscopic clues suggestive of stability or activity of the lesion and/or disease in various dermatoses are being accrued. Early assessment of therapeutic response to treatment is helpful for physicians, patients, and researchers conducting clinical studies. Aesthetic uses of dermoscopy are opulent and being explored. Dermoscopy has also provided the much-needed balancing act of interaction between practitioners and the new generation of patients. Last but not the least, dermoscopy has resulted in patients' better understanding of their disorders and improved compliance with treatment protocols.
自皮肤镜技术问世以来，在对可疑痣进行特征分析以早期发现易感个体的发育异常变化方面已经取得了长足的进步。其应用范围不仅扩大到有助于快速诊断大多数皮肤、毛发和指甲的非黑素细胞性疾病，而且还被合理地用于大量非诊断用途。它在诊断各种色素性、丘疹鳞屑性、感染性疾病以及头皮、毛发、指甲和黏膜疾病方面的应用，证明了其在不同皮肤类型中的多种适应症正在不断扩展。皮肤镜已经将传统的皮肤病诊断方法从临床病理相关性转变为临床皮肤镜病理相关性。它有助于说服原本不情愿的患者同意活检，并指导选择最佳的活检部位。目前正在积累各种皮肤病中提示病变和/或疾病稳定性或活动性的皮肤镜线索。对治疗反应的早期评估对医生、患者以及进行临床研究的研究人员都有帮助。皮肤镜在美学方面的应用丰富多样，正在不断探索中。皮肤镜还在从业者与新一代患者之间的互动中起到了急需的平衡作用。最后但同样重要的是，皮肤镜使患者对自身疾病有了更好的理解，并提高了对治疗方案的依从性。
