Evaluation of diagnostic accuracy of dermoscopy in some common hypopigmented skin diseases
Background Diagnosis of cutaneous hypopigmentation can sometimes be challenging. Dermoscopy may play a role in identifying hypo or-depigmented dermatoses. The aim was to investigate which dermoscopic criteria represent potent indicators for the diagnosis of vitiligo, nevus depigmentosus, pityriasis...
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| Veröffentlicht in: | Archives of dermatological research 2024-08, Vol.316 (8), p.562, Article 562 |
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| description | Background
Diagnosis of cutaneous hypopigmentation can sometimes be challenging. Dermoscopy may play a role in identifying hypo or-depigmented dermatoses. The aim was to investigate which dermoscopic criteria represent potent indicators for the diagnosis of vitiligo, nevus depigmentosus, pityriasis alba, hypopigmented pityriasis versicolor, idiopathic guttate hypomelanosis, hypopigmented mycosis fungoides (MF), lichen sclerosus et atrophicus and ash leaf hypopigmented macules of tuberous sclerosis, and evaluate their diagnostic accuracy. 168 individuals diagnosed with one of these hypopigmented disorders were evaluated for the presence or absence of predetermined dermoscopic criteria. Evaluation of dermatoscopic characteristics in each condition and analysis for sensitivity and specificity of dermatoscopic diagnosis in these hypopigmented lesions was performed. The starburst pattern, micro-koebnerization, and trichrome pattern were unique to vitiligo diagnosis. Vitiligo had higher comet-tail appearance, perifollicular pigmentation, and perilesional hyperpigmentation than other hypopigmented illnesses. Other hypopigmented lesions had greater incidence of amoeboid pattern, faint or diminished pigment network, islands of pigmentation, ill-defined boundaries, pseudopods, and widespread scaling than vitiligo. Finally, perifollicular scaling, comedo-like openings, blue-gray specks, and fibrotic regions excluded vitiligo. Dermoscopy can help identify common hypopigmented skin lesions and reduce the need for skin biopsy. Nevus depigmentosus, pityriasis alba and idiopathic guttate hypomelanosis were the top three hypopigmented dermatoses that could be diagnosed by dermoscopy with 100% sensitivity. Vitiligo was in the second rank (94.7%), followed by lichen sclerosis et atrophicus (93.3%) then hypopigmented MF at 81.2% sensitivity. Dermoscopy sensitivity was lowest in pityriasis versicolor and ash leaf macules of tuberous sclerosis (52.6% and 46.7%, respectively). |
| doi_str_mv | 10.1007/s00403-024-03259-8 |
| format | Article |
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Diagnosis of cutaneous hypopigmentation can sometimes be challenging. Dermoscopy may play a role in identifying hypo or-depigmented dermatoses. The aim was to investigate which dermoscopic criteria represent potent indicators for the diagnosis of vitiligo, nevus depigmentosus, pityriasis alba, hypopigmented pityriasis versicolor, idiopathic guttate hypomelanosis, hypopigmented mycosis fungoides (MF), lichen sclerosus et atrophicus and ash leaf hypopigmented macules of tuberous sclerosis, and evaluate their diagnostic accuracy. 168 individuals diagnosed with one of these hypopigmented disorders were evaluated for the presence or absence of predetermined dermoscopic criteria. Evaluation of dermatoscopic characteristics in each condition and analysis for sensitivity and specificity of dermatoscopic diagnosis in these hypopigmented lesions was performed. The starburst pattern, micro-koebnerization, and trichrome pattern were unique to vitiligo diagnosis. Vitiligo had higher comet-tail appearance, perifollicular pigmentation, and perilesional hyperpigmentation than other hypopigmented illnesses. Other hypopigmented lesions had greater incidence of amoeboid pattern, faint or diminished pigment network, islands of pigmentation, ill-defined boundaries, pseudopods, and widespread scaling than vitiligo. Finally, perifollicular scaling, comedo-like openings, blue-gray specks, and fibrotic regions excluded vitiligo. Dermoscopy can help identify common hypopigmented skin lesions and reduce the need for skin biopsy. Nevus depigmentosus, pityriasis alba and idiopathic guttate hypomelanosis were the top three hypopigmented dermatoses that could be diagnosed by dermoscopy with 100% sensitivity. Vitiligo was in the second rank (94.7%), followed by lichen sclerosis et atrophicus (93.3%) then hypopigmented MF at 81.2% sensitivity. Dermoscopy sensitivity was lowest in pityriasis versicolor and ash leaf macules of tuberous sclerosis (52.6% and 46.7%, respectively).</description><identifier>ISSN: 1432-069X</identifier><identifier>ISSN: 0340-3696</identifier><identifier>EISSN: 1432-069X</identifier><identifier>DOI: 10.1007/s00403-024-03259-8</identifier><identifier>PMID: 39177715</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Biopsy ; Child ; Child, Preschool ; Comedones ; Dermatology ; Dermoscopy ; Diagnosis ; Diagnosis, Differential ; Female ; Humans ; Hyperpigmentation ; Hypopigmentation - diagnosis ; Hypopigmentation - diagnostic imaging ; Hypopigmentation - pathology ; Leaves ; Male ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Microscopy ; Middle Aged ; Mycosis ; Mycosis fungoides ; Nevus ; Original Paper ; Pigmentation ; Pityriasis ; Pityriasis versicolor ; Sensitivity analysis ; Sensitivity and Specificity ; Skin - diagnostic imaging ; Skin - pathology ; Skin diseases ; Skin lesions ; Tuberous sclerosis ; Vitiligo ; Vitiligo - diagnosis ; Vitiligo - diagnostic imaging ; Vitiligo - pathology ; Young Adult</subject><ispartof>Archives of dermatological research, 2024-08, Vol.316 (8), p.562, Article 562</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-252ad544b46cf2fe7067d74d65b12cf18ff426544e149f3d4711183e90bc245f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00403-024-03259-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00403-024-03259-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39177715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Soliman, Sarah Hamdy</creatorcontrib><creatorcontrib>Bosseila, Manal</creatorcontrib><creatorcontrib>Hegab, Doaa Salah</creatorcontrib><creatorcontrib>Ali, Dareen Abdelaziz Mohammed</creatorcontrib><creatorcontrib>Kabbash, Ibrahim Ali</creatorcontrib><creatorcontrib>AbdRabo, Fatma Abdel Ghafar</creatorcontrib><title>Evaluation of diagnostic accuracy of dermoscopy in some common hypopigmented skin diseases</title><title>Archives of dermatological research</title><addtitle>Arch Dermatol Res</addtitle><addtitle>Arch Dermatol Res</addtitle><description>Background
Diagnosis of cutaneous hypopigmentation can sometimes be challenging. Dermoscopy may play a role in identifying hypo or-depigmented dermatoses. The aim was to investigate which dermoscopic criteria represent potent indicators for the diagnosis of vitiligo, nevus depigmentosus, pityriasis alba, hypopigmented pityriasis versicolor, idiopathic guttate hypomelanosis, hypopigmented mycosis fungoides (MF), lichen sclerosus et atrophicus and ash leaf hypopigmented macules of tuberous sclerosis, and evaluate their diagnostic accuracy. 168 individuals diagnosed with one of these hypopigmented disorders were evaluated for the presence or absence of predetermined dermoscopic criteria. Evaluation of dermatoscopic characteristics in each condition and analysis for sensitivity and specificity of dermatoscopic diagnosis in these hypopigmented lesions was performed. The starburst pattern, micro-koebnerization, and trichrome pattern were unique to vitiligo diagnosis. Vitiligo had higher comet-tail appearance, perifollicular pigmentation, and perilesional hyperpigmentation than other hypopigmented illnesses. Other hypopigmented lesions had greater incidence of amoeboid pattern, faint or diminished pigment network, islands of pigmentation, ill-defined boundaries, pseudopods, and widespread scaling than vitiligo. Finally, perifollicular scaling, comedo-like openings, blue-gray specks, and fibrotic regions excluded vitiligo. Dermoscopy can help identify common hypopigmented skin lesions and reduce the need for skin biopsy. Nevus depigmentosus, pityriasis alba and idiopathic guttate hypomelanosis were the top three hypopigmented dermatoses that could be diagnosed by dermoscopy with 100% sensitivity. Vitiligo was in the second rank (94.7%), followed by lichen sclerosis et atrophicus (93.3%) then hypopigmented MF at 81.2% sensitivity. Dermoscopy sensitivity was lowest in pityriasis versicolor and ash leaf macules of tuberous sclerosis (52.6% and 46.7%, respectively).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biopsy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comedones</subject><subject>Dermatology</subject><subject>Dermoscopy</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperpigmentation</subject><subject>Hypopigmentation - diagnosis</subject><subject>Hypopigmentation - diagnostic imaging</subject><subject>Hypopigmentation - pathology</subject><subject>Leaves</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microscopy</subject><subject>Middle Aged</subject><subject>Mycosis</subject><subject>Mycosis fungoides</subject><subject>Nevus</subject><subject>Original Paper</subject><subject>Pigmentation</subject><subject>Pityriasis</subject><subject>Pityriasis versicolor</subject><subject>Sensitivity analysis</subject><subject>Sensitivity and Specificity</subject><subject>Skin - diagnostic imaging</subject><subject>Skin - pathology</subject><subject>Skin diseases</subject><subject>Skin lesions</subject><subject>Tuberous sclerosis</subject><subject>Vitiligo</subject><subject>Vitiligo - diagnosis</subject><subject>Vitiligo - diagnostic imaging</subject><subject>Vitiligo - pathology</subject><subject>Young Adult</subject><issn>1432-069X</issn><issn>0340-3696</issn><issn>1432-069X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMoznh5ARdScOOmmmvTLmUYLzDgRkHchEyajB2nTc1phb69cWa84MJVQs73_yd8CJ0QfEEwlpeAMccsxZSnmFFRpPkOGhPOaIqz4mn3132EDgCWOIZkTvbRiBVESknEGD1P3_Wq113lm8S7pKz0ovHQVSbRxvRBm2H9bEPtwfh2SKomAV_bxPi6jpmXofVttaht09kygdc4LiuwGiwcoT2nV2CPt-cheryePkxu09n9zd3kapYaKrIupYLqUnA-55lx1FmJM1lKXmZiTqhxJHeO0ywClvDCsZJLQkjObIHnhnLh2CE63_S2wb_1FjpVV2DsaqUb63tQDBcZzQXlPKJnf9Cl70MTf7emhBB5JiNFN5QJHiBYp9pQ1ToMimD1aV5tzKtoXq3NqzyGTrfV_by25XfkS3UE2AaAOGoWNvzs_qf2A5hejmw</recordid><startdate>20240823</startdate><enddate>20240823</enddate><creator>Soliman, Sarah Hamdy</creator><creator>Bosseila, Manal</creator><creator>Hegab, Doaa Salah</creator><creator>Ali, Dareen Abdelaziz Mohammed</creator><creator>Kabbash, Ibrahim Ali</creator><creator>AbdRabo, Fatma Abdel Ghafar</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20240823</creationdate><title>Evaluation of diagnostic accuracy of dermoscopy in some common hypopigmented skin diseases</title><author>Soliman, Sarah Hamdy ; Bosseila, Manal ; Hegab, Doaa Salah ; Ali, Dareen Abdelaziz Mohammed ; Kabbash, Ibrahim Ali ; AbdRabo, Fatma Abdel Ghafar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-252ad544b46cf2fe7067d74d65b12cf18ff426544e149f3d4711183e90bc245f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biopsy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comedones</topic><topic>Dermatology</topic><topic>Dermoscopy</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperpigmentation</topic><topic>Hypopigmentation - diagnosis</topic><topic>Hypopigmentation - diagnostic imaging</topic><topic>Hypopigmentation - pathology</topic><topic>Leaves</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microscopy</topic><topic>Middle Aged</topic><topic>Mycosis</topic><topic>Mycosis fungoides</topic><topic>Nevus</topic><topic>Original Paper</topic><topic>Pigmentation</topic><topic>Pityriasis</topic><topic>Pityriasis versicolor</topic><topic>Sensitivity analysis</topic><topic>Sensitivity and Specificity</topic><topic>Skin - diagnostic imaging</topic><topic>Skin - pathology</topic><topic>Skin diseases</topic><topic>Skin lesions</topic><topic>Tuberous sclerosis</topic><topic>Vitiligo</topic><topic>Vitiligo - diagnosis</topic><topic>Vitiligo - diagnostic imaging</topic><topic>Vitiligo - pathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Soliman, Sarah Hamdy</creatorcontrib><creatorcontrib>Bosseila, Manal</creatorcontrib><creatorcontrib>Hegab, Doaa Salah</creatorcontrib><creatorcontrib>Ali, Dareen Abdelaziz Mohammed</creatorcontrib><creatorcontrib>Kabbash, Ibrahim Ali</creatorcontrib><creatorcontrib>AbdRabo, Fatma Abdel Ghafar</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of dermatological research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Soliman, Sarah Hamdy</au><au>Bosseila, Manal</au><au>Hegab, Doaa Salah</au><au>Ali, Dareen Abdelaziz Mohammed</au><au>Kabbash, Ibrahim Ali</au><au>AbdRabo, Fatma Abdel Ghafar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of diagnostic accuracy of dermoscopy in some common hypopigmented skin diseases</atitle><jtitle>Archives of dermatological research</jtitle><stitle>Arch Dermatol Res</stitle><addtitle>Arch Dermatol Res</addtitle><date>2024-08-23</date><risdate>2024</risdate><volume>316</volume><issue>8</issue><spage>562</spage><pages>562-</pages><artnum>562</artnum><issn>1432-069X</issn><issn>0340-3696</issn><eissn>1432-069X</eissn><abstract>Background
Diagnosis of cutaneous hypopigmentation can sometimes be challenging. Dermoscopy may play a role in identifying hypo or-depigmented dermatoses. The aim was to investigate which dermoscopic criteria represent potent indicators for the diagnosis of vitiligo, nevus depigmentosus, pityriasis alba, hypopigmented pityriasis versicolor, idiopathic guttate hypomelanosis, hypopigmented mycosis fungoides (MF), lichen sclerosus et atrophicus and ash leaf hypopigmented macules of tuberous sclerosis, and evaluate their diagnostic accuracy. 168 individuals diagnosed with one of these hypopigmented disorders were evaluated for the presence or absence of predetermined dermoscopic criteria. Evaluation of dermatoscopic characteristics in each condition and analysis for sensitivity and specificity of dermatoscopic diagnosis in these hypopigmented lesions was performed. The starburst pattern, micro-koebnerization, and trichrome pattern were unique to vitiligo diagnosis. Vitiligo had higher comet-tail appearance, perifollicular pigmentation, and perilesional hyperpigmentation than other hypopigmented illnesses. Other hypopigmented lesions had greater incidence of amoeboid pattern, faint or diminished pigment network, islands of pigmentation, ill-defined boundaries, pseudopods, and widespread scaling than vitiligo. Finally, perifollicular scaling, comedo-like openings, blue-gray specks, and fibrotic regions excluded vitiligo. Dermoscopy can help identify common hypopigmented skin lesions and reduce the need for skin biopsy. Nevus depigmentosus, pityriasis alba and idiopathic guttate hypomelanosis were the top three hypopigmented dermatoses that could be diagnosed by dermoscopy with 100% sensitivity. Vitiligo was in the second rank (94.7%), followed by lichen sclerosis et atrophicus (93.3%) then hypopigmented MF at 81.2% sensitivity. Dermoscopy sensitivity was lowest in pityriasis versicolor and ash leaf macules of tuberous sclerosis (52.6% and 46.7%, respectively).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39177715</pmid><doi>10.1007/s00403-024-03259-8</doi></addata></record> |
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| subjects | Adolescent Adult Aged Biopsy Child Child, Preschool Comedones Dermatology Dermoscopy Diagnosis Diagnosis, Differential Female Humans Hyperpigmentation Hypopigmentation - diagnosis Hypopigmentation - diagnostic imaging Hypopigmentation - pathology Leaves Male Medical diagnosis Medicine Medicine & Public Health Microscopy Middle Aged Mycosis Mycosis fungoides Nevus Original Paper Pigmentation Pityriasis Pityriasis versicolor Sensitivity analysis Sensitivity and Specificity Skin - diagnostic imaging Skin - pathology Skin diseases Skin lesions Tuberous sclerosis Vitiligo Vitiligo - diagnosis Vitiligo - diagnostic imaging Vitiligo - pathology Young Adult |
| title | Evaluation of diagnostic accuracy of dermoscopy in some common hypopigmented skin diseases |
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