Dermaimaging

digital dermoscopy

Archive for March, 2010

Patient 176

Posted by admin On March - 31 - 2010

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In a 46-year-old man, on the back

What to see at dermoscopy:

-Multicomponent pattern
-Blue-white veil
-Clustered dots at periphery (circle)
-Chrysalys structures (arrows)
-Scar-like depigmentation
-Telangectasia over the regression area
-Erythema

Dermoscopy in favor of Melanoma and histology confirmed the diagnosis.

Patient 178

Posted by admin On March - 25 - 2010

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In a 56-year-old man, on the arm (presence of multiple moles and a familiar history of melanoma)

What to see at dermoscopy:

-Reticular pattern
-Structureless areas assimetrically distributed
-Radial streaming (gray arrows)

Dermoscopy in favor of dysplastic nevus and histopathology confirmed the diagnosis (mild subtype)

Patient 177

Posted by admin On March - 18 - 2010

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In a 56-year-old man, on the trunck

What to see at dermoscopy:

-arborizing telangectasias (gray arrow)
-ulceration (white arrow)
-multiple blue-gray ovoid nests (circle)
-scar-like depigmentation and blue-white veil
-black crusts
-erythema

Dermoscopy in favor of basal cell carcinoma and histopathology confirmed the diagnosis (nodular subtype)

Patient 165

Posted by admin On March - 15 - 2010

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In a 24-year-old man, on the trunk (pruriginous lesion)

What to see at dermoscopy:

-sharp borders
-structureless areas
-short telangectasias
-melanosis (peppering)
-erythema

Althought Dermoscopy was in favor of lichen planus-like keratosis, biopsy was indicated to confirm diagnosis

Patient 175

Posted by admin On March - 3 - 2010

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In a 25-year-old woman, on the trunk;previous history of other nevi extirpation (including a dysplastic nevus)

What to see at dermoscopy:

-Multicomponent pattern
-Globules
-Irregular distributed dots
-Negative pigment network at the periphery of lesion
-Irregular blotches at central area
-Blue-white veil
-Perifollicular hypopigmentation
-Hypopigmented areas
Extirpation was suggested and histology correlation was: compound nevus