BackgroundPigmented purpuric dermatosis is a chronic skin disorder of unknown aetiology
characterised by symmetrical petechial and pigmented macules, often confined
to the lower limbs. The aetiology of pigmented purpuric dermatosis is
unknown. Dermatoscopy is a non-invasive diagnostic technique that allows the
visualisation of morphological features invisible to the naked eye; it
combines a method that renders the corneal layer of the skin translucent
with an optical system that magnifies the image projected onto the
retina.ObjectivesThe aim of this study is to investigate the dermatoscopic findings of
pigmented purpuric dermatosis.MethodsThis study enrolled patients diagnosed histopathologically with pigmented
purpuric dermatosis who had dermatoscopic records. We reviewed the
dermatoscopic images of PPD patients who attended the outpatient clinic in
the Istanbul Dermatovenereology Department at the Bezmialem Vakıf University
Medical Faculty.ResultsDermatoscopy showed: coppery-red pigmentation (97%, n = 31) in the
background, a brown network (34%, n = 11), linear vessels (22%, n = 7),
round to oval red dots, globules, and patches (69%, n = 22; 75%, n = 24;
34%, n = 11; respectively), brown globules (26%, n = 8) and dots (53%, n =
17), linear brown lines (22%, n = 7), and follicular openings (13%, n =
4).ConclusionTo our knowledge, this is the first study to report the dermatoscopy of
pigmented purpuric dermatosis. In our opinion, dermatoscopy can be useful in
the diagnosis of pigmented purpuric dermatosis.