Clinical and Dermoscopic Features of Lichenoid Keratosis: A Retrospective Case Study
| Autor: | Alessandra Chiarugi, Vincenzo De Giorgi, Alessandro Innocenti, Daniela Massi, Alessia Gori, Piero Covarelli, Paolo Nardini, Agata Janowska, Lorenzo Salvati, Federica Scarfì, Giovanni Maria Palleschi, Teresa Oranges, Imma Savarese |
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| Přispěvatelé: | Gori, Alessia, Oranges, Teresa, Janowska, Agata, Savarese, Imma, Chiarugi, Alessandra, Nardini, Paolo, Salvati, Lorenzo, Maria Palleschi, Giovanni, Scarfì, Federica, Massi, Daniela, Innocenti, Alessandro, Covarelli, Piero, De Giorgi, Vincenzo |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Lichenoid Eruptions Cutaneous lesion Dermatoscopy Dermoscopy Lichenoid keratosis Dermatology 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine Retrospective Studie medicine Keratosi 80 and over Humans Aged Retrospective Studies Aged 80 and over lichenoid keratosi medicine.diagnostic_test business.industry Lichenoid Eruption Keratosis Middle Aged stomatognathic diseases 030220 oncology & carcinogenesis Female Surgery business Human |
| Zdroj: | Journal of cutaneous medicine and surgery. 22(6) |
| ISSN: | 1615-7109 |
| Popis: | Background: Lichenoid keratosis is a benign cutaneous lesion exhibiting many clinical faces and different dermoscopic features. Objective: This study aims to determine the pattern of different clinical subtypes of lichenoid keratosis and to establish whether there is any correlation between the clinical variants of lichenoid keratosis and their dermoscopic appearance. Methods: We retrospectively analyzed the medical records and clinical database of patients who had received a histological diagnosis of lichenoid keratosis. Based on the literature review and the clinical-dermoscopic features of lichenoid keratosis, we divided the lesions into 6 clinical subtypes to evaluate potential correlations between clinical and dermoscopic features in all subtypes. Results: Fifty-one lesions were included in this clinical study. Preoperatively, only 1.9% of cases were clinically diagnosed as lichenoid keratosis, and the most common misdiagnosis was basal cell carcinoma (52.9%). We identified 6 subtypes of lichenoid keratosis and their corresponding dermoscopic features and clues. Conclusion: Since lichenoid keratosis has no pathognomonic dermoscopic clues and it is commonly misdiagnosed as malignant skin neoplasms, such as basal cell carcinoma and melanoma, improving the knowledge of both clinical and dermoscopic variability of lichenoid keratosis may help dermatologists to reduce unnecessary surgery and to reduce health care spending. |
| Databáze: | OpenAIRE |
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