University of New Mexico School of Medicine, Albuquerque, NM, USA.
Department of Dermatology, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Pediatr Dermatol. 2021 Nov;38(6):1488-1499. doi: 10.1111/pde.14837. Epub 2021 Oct 14.
Reflectance confocal microscopy is an innovative imaging modality, which noninvasively provides an optical image to aid in the diagnosis of skin lesions. While performing a skin biopsy for histopathologic analysis is the gold standard to definitively diagnose skin disease, this may prove to be more difficult in the pediatric population. This will occasionally necessitate sedation or general anesthesia as an approach, which carries a number of different risks. Reflectance confocal microscopy is an exciting new avenue in the support of diagnosing skin pathology, with the goal of improving pediatric patient tolerance and experience when examining epidermal and superficial dermal skin lesions. This review discusses the utility of reflectance confocal microscopy for pediatric dermatology patients pertaining to melanocytic and non-melanocytic skin neoplasms and inflammatory and infectious skin diseases in children.
反射共焦显微镜是一种创新的成像方式,它可以非侵入性地提供光学图像,以帮助诊断皮肤病变。虽然进行皮肤活检以进行组织病理学分析是明确诊断皮肤疾病的金标准,但在儿科人群中可能更具挑战性。这偶尔需要镇静或全身麻醉作为一种方法,这会带来许多不同的风险。反射共焦显微镜是支持诊断皮肤病理学的一个令人兴奋的新途径,其目标是改善儿科患者在检查表皮和浅层真皮皮肤病变时的耐受性和体验。本文综述了反射共焦显微镜在儿科皮肤科患者中对黑素细胞和非黑素细胞皮肤肿瘤以及儿童炎症和感染性皮肤病的应用。