Application of mucous membrane dermoscopy (mucoscopy) in diagnostics of benign oral lesions ‐ literature review and preliminary observations from International Dermoscopy Society study

Jha, Abhijeet Kumar; Vinay, Keshavamurthy; Sławińska, Martyna; Sonthalia, Sidharth; Sobjanek, M; Kamińska‐Winciorek, Grażyna; Errichetti, Enzo; Kamat, Divya; Chatterjee, Debajyoti; Apalla, Zoe; Zalaudek, Iris; Goldust, Mohamad; Lallas, Aimilios

doi:10.1111/dth.14478

Cited by 12 publications

(27 citation statements)

References 45 publications

(77 reference statements)

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“…The dermoscopy used in the oral cavity in some of reference called as mucoscopy. 36 The use of dermoscopy on the oral mucosa is still limited. Several studies defined the dermoscopes on healthy labial mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…20,42 Due to the pigment that is restricted to the borders, they have a much better-defined contour than the usual non-pigmented fungiform papillae. 36 Cobblestone and rose-petal appearances are helpful in distinguishing PPFT from other pigmented conditions of tongue. Hence, dermoscopes serves as a reliable clinical diagnostic tool in differentiating from suspicious pigmented lesions.…”

Section: Discussionmentioning

confidence: 99%

“…35,40 The PFTT is localized in the tongue, the other condition of pigmented and affected on papillae must consider as differential diagnosis. This condition refers to black hairy tongue, 43 median rhomboid glossitis, 36 benign migratory glossitis, 36 macula melanotic, 44 physiological hyperpigmentation, 36 lingual varicosity, 45,46 and leukoplakia. 47 each condition has different dermoscopes as present in Table 3.…”

Section: Discussionmentioning

confidence: 99%

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Clinical utility of dermoscopy on diagnosing pigmented papillary fungiform papillae of the tongue: A systematic review

Surboyo

Santosh

Hariyani

et al. 2021

Journal of Oral Biology and Craniofacial Research

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Introduction:The practice of dermoscopy in dental and oral examination is low due to less popularity and not well established of the diagnostic tool in dental practice. The dermoscopy examination provides a specific dermoscopes details for pigmented papillary fungiform of tongue (PPFT) as cobblestone appearance and rose-petal appearance. With this dermoscopes details serves as a non-invasive diagnostic tool and prevents biopsy procedure.Objective: We performed a systematic review to evaluate the published papers related to pigmented papillary fungiform on the tongue, aiming to understand the diagnostic role of dermoscopy examination in pigmented papillary fungiform. Data synthesis: Initial result was 136 studies. Final exclusion of 27 articles was made based on the following factors: reports with no clinical images, studies that did not confirm the diagnosis of PPFT and studies that did not use the dermoscopes details. Finally, seventeen studies with nineteen cases, reported of pigmented papillary fungiform of the tongue. Six studies (consist six cases) reported the dermoscopy and histopathology diagnosis of pigmented papillary fungiform, eleven studies (consist thirteen cases) reported only the dermoscopy. The dermoscopy examination presented cobblestone appearance is 47.37% and rose petal appearance is 52.63%. The comparation study by histopathology diagnosis was done, revealed no specific appearances. Conclusions: The clinical appearance and dermoscopy is the key for diagnosis of the papillary fungiform on the tongue. Further research is needed for determining the etiology and predisposing factor in papillary fungiform so that the possibility of developing this condition can be predicted and proper treatment could be performed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical utility of dermoscopy on diagnosing pigmented papillary fungiform papillae of the tongue: A systematic review

Surboyo

Santosh

Hariyani

et al. 2021

Journal of Oral Biology and Craniofacial Research

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“…These reports have described oral LP as being characterized by white reticular lines over an erythematous-violaceous background with curved vessels. Superficial crusting or scaling blunted papillae, tiny erosions, interspersed clods and a polymorphic vascular pattern have been reported [20,21].…”

Section: Oral Lpmentioning

confidence: 97%

“…To our knowledge, only 3 case series on the mucoscopic appearance of oral and lips LE lesions have been reported, characterized by white halos and network-like white lines with long linear and dotted vessels over a diffuse erythematous background [20,40,41].…”

Section: Lupus Erythematosusmentioning

confidence: 99%

Acquired White Oral Lesions with Specific Patterns: Oral Lichen Planus and Lupus Erythematosus

Manfredini

Pedroni

Bigi

et al. 2021

Dermatol Pract Concept

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Background: Diagnosis of oral white lesions might be challenging. These lesions represent a wide spectrum of diseases with different etiology and prognosis. Oral white lesions can be categorized into two major groups, congenital and acquired, according to their development, and in four subgroups: lesions which can be scraped off or not and lesions with special pattern or not. Objectives: The aim of this manuscript is to review, from diagnosis to treatment, the current knowledge on oral white lesions with specific pattern. Methods: A review on oral white lesions with specific pattern was conducted on PubMed and Scopus from inception to January 2021. Results: Among acquired lesions with specific pattern two clinical entities are mostly represented: Oral lichenoid reactions and Lupus erythematosus. The etiology of both diseases is still not known but their pathogenesis is mainly immunological. At present the mucoscopic features of those disease have been described only in few case reports or case series. Immunomodulatory therapies are often the agents of choice for their treatment. Conclusions: The collaboration of dermatologists and dentists as a team is important for early diagnoses and effective treatments. Mucoscopy is a promising technique which may reveal important features for the differentiation of OLP and LE oral white lesions.

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What Do the Lips Say in Chronic Graft-Versus-Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation? A Case Series

Szlauer‐Stefańska

Kamińska‐Winciorek

2021

Dermatol Ther (Heidelb)

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Introduction Chronic graft-versus-host disease (cGvHD) affects around half of allogeneic hematopoietic stem cell transplantation (alloHSCT) recipients, with frequent involvement of the oral mucosa and lip vermillion, that clinically may resemble other autoimmune and inflammatory conditions. Our objectives were to define the dermoscopic patterns of lip vermilion in patients suffering from cGvHD and to compare the presentation with previously published dermoscopic presentations of other disease entities presenting on the lip vermillion. Methods A group of 16 patients diagnosed with cGvHD was assessed clinically and dermoscopically. The dermoscopic descriptions were made according to recent consensus on terminology of non-neoplastic disorders. Results Dermoscopy of vermillion frequently revealed dotted vessels that were found in all patients, while linear vessels without bends or branches were seen in 10 of them (62.5%). Peripheral scale, mainly in white color (13/16, 81.2%) was often present. Most striking features were parallel and perpendicular white lines, found in all patients. Other structures included brown dots and blood spots that were present in 10 patients (62.5%). Four patients (25.0%) had blurred vermillion border and in 8 (50.0%) linear fissures or ulceration were found. Typical Wickham striae were found in 3 (18.8%) patients. Conclusions The dermoscopic features observed in cGvHD affecting lip vermillion warrant differentiation with inflammatory (lichen planus), autoimmune (lichen sclerosus, discoid lupus erythematosus), precancerous (actinic keratosis, leukoplakia), and neoplastic diseases (squamous cell carcinoma), among others. Dermoscopy of lip vermillion might be an additional tool to visualize diagnostic mucoscopic features of cGvHD (lichen planus-like, lichen sclerosus-like lesions).

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Application of mucous membrane dermoscopy (mucoscopy) in diagnostics of benign oral lesions ‐ literature review and preliminary observations from International Dermoscopy Society study

Cited by 12 publications

References 45 publications

Clinical utility of dermoscopy on diagnosing pigmented papillary fungiform papillae of the tongue: A systematic review

Clinical utility of dermoscopy on diagnosing pigmented papillary fungiform papillae of the tongue: A systematic review

Acquired White Oral Lesions with Specific Patterns: Oral Lichen Planus and Lupus Erythematosus

What Do the Lips Say in Chronic Graft-Versus-Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation? A Case Series

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