| Autor: |
Ankad, Balachandra S., Sharma, Apoorva, Vinay, Keshavamurthy, Rathod, Santoshdev, Mehta, Hita, Bhat, Yasmeen Jabeen, P. K., Ashwini, Jha, Abhijeet Kumar, Narang, Tarun |
| Předmět: |
|
| Zdroj: |
Indian Journal of Dermatology, Venereology & Leprology; Jul/Aug2024, Vol. 90 Issue 4, p486-493, 8p |
| Abstrakt: |
Background: Leprosy is known to be a great mimicker. Its dermatoscopic evaluation may be of value in establishing diag- nosis. Objective: To study the dermatoscopic findings encountered across the leprosy spectrum. Methods: This was a multi-centre cross-sectional study of leprosy patients, where after a thorough cutaneous and neurologi- cal evaluation, representative skin lesions from the study patients were photographed in standard settings, and the most repre- sentative skin lesions were chosen for dermatoscopic evaluation. Data was entered in a structured proforma and a descriptive analysis of dermatoscopic patterns was carried out. Results: A total of 53 cases of ages between 14 and 80 years, ranging from tuberculoid to the lepromatous spectrum of dis- ease, with active skin lesions in the form of patches and plaques were included. The spectrum of leprosy as per Ridley-Jopling classification at diagnosis was indeterminate in 1 (1.9%), tuberculoid in 1 (1.9%), borderline tuberculoid in 25 (21.5%), bor- derline lepromatous in 9 (17%), lepromatous in 14 (26.4%) and histoid in 3 (5.7%). Dermatoscopic features included distort- ed pigment network in 48 (90.6%), focal white areas in 40 (75.5%), reduced eccrine and follicular openings in 43 (81.1%), widened skin lines in 28 (52.8%), circle hairs in 15 (28.3%) and white shiny streaks in 17 (32.1%). Conclusion: Dermatoscopy is a practical, non-invasive device to assess skin lesions of leprosy and provide cues to its diag- nosis, spectral classification and differentiating it from other granulomatous disorders. However, dermatoscopy alone cannot reliably differentiate between the various types of leprosy and future large-scale studies are required. Limitations of the study: The numbers for each subtype were variable and few in some spectrum of leprosy patients. A dermatoscopic-histologic correlation was not done. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
