Skin Cancer Unit, IRCCS Istituto Romagnolo per Lo Studio Dei Tumori (IRST) "Dino Amadori", Meldola, Italy.
Dermatology Unit, Department of Clinical and Experimental Medicine, University of Parma, Parma, Italy.
Australas J Dermatol. 2024 Aug;65(5):467-471. doi: 10.1111/ajd.14298. Epub 2024 May 5.
Dermoscopy can be an important help for the diagnosis of skin cancers and inflammatory cutaneous diseases. The list of the dermoscopic features reported in granuloma faciale is wide and includes vascular and non-vascular features. We report here three cases of diffuse flat facial and extrafacial granuloma faciale that exhibited elongated linear vessels simulating branching vessels and diffuse structureless orange areas. The differential diagnosis between flat-type granuloma faciale, basal cell carcinoma and cutaneous sarcoidosis can be extremely difficult, making histology mandatory before any treatment.
皮肤镜检查对于皮肤癌和炎症性皮肤病的诊断具有重要意义。在结节病中，报告的皮肤镜特征范围广泛，包括血管性和非血管性特征。我们在此报告三例弥漫性扁平面部和面部外结节病，其表现为类似分支血管的细长线性血管和弥漫性无结构的橙红色区域。在平坦型结节病、基底细胞癌和皮肤结节病之间进行鉴别诊断可能极其困难，因此在进行任何治疗之前必须进行组织学检查。
