Diagnosis and Differential Diagnosis of Poikiloderma of Civatte: A Dermoscopy Cohort Study.

Autor:	Katoulis AC; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Sgouros D; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Bozi E; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Pappa G; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Theotokoglou S; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Konstantinou MP; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Voudouri A; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Voudouri M; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Theofili M; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Tzima K; 2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, 'Attikon' General University Hospital, Athens, Greece., Hofmann-Wellenhof R; Department of Dermatology, Medical University of Graz, Graz, Austria.
Jazyk:	angličtina
Zdroj:	Dermatology practical & conceptual [Dermatol Pract Concept] 2023 Jan 01; Vol. 13 (1). Date of Electronic Publication: 2023 Jan 01.
DOI:	10.5826/dpc.1301a7
Abstrakt:	Introduction: Poikiloderma of Civatte (PC) is a common, acquired, chronic, benign poikiloderma of the neck and face, most commonly affecting peri-menopausal females. At the time of writing, few studies have been published regarding the dermoscopy of PC. Objective: To describe the dermoscopic picture of PC, so as to provide a clinico dermoscopic diagnosis and differential diagnosis for PC. Methods: Twenty-eight patients with PC, aged 26-73 years, of whom 19 females (67.86%) were evaluated by detailed history, clinical examination, and dermoscopic examination with hand-held dermoscope. Results: The reticular pattern was observed in 15 cases (53.6%); the white dot in 10 (35.7%); the non-specific in 9 (32.1%); and the combination of linear and dotted vessels in 8 (28.6%). Regarding local dermoscopic features, converging curved vessels were observed in 18 cases (64.3%); linear irregular vessels in 17 (60.7%); rhomboidal/polygonal vessels in 15 (53.6%); dotted/globular vessels in 10 (35.7%); white macules in 23 (82.1%); brown macules in 11 (39.3%); and whitish follicular plugs in 6 (21.4%). Conclusions: The dermoscopic picture of PC is highly characteristic and corresponds well to both clinical and histological findings. Dermoscopy may assist clinical diagnosis, as well as the differentiation from other dermatoses of the neck and face, especially poikilodermas with guarded prognosis.
Databáze:	MEDLINE
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