Ashy dermatosis: A comprehensive review

Amatya, Bibush

doi:10.7241/ourd.20172.39

Cited by 7 publications

(11 citation statements)

References 24 publications

(35 reference statements)

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“…Ashy dermatosis is characterized by development of gradually increasing grayish macules on the face and trunk. The evolution is that of gradual progression without spontaneous improvement [17]. Available treatment options are limited and often not effective, which may have contributed to the higher impairment on quality of life [17].…”

Section: Discussionmentioning

confidence: 99%

“…The evolution is that of gradual progression without spontaneous improvement [ 17 ]. Available treatment options are limited and often not effective, which may have contributed to the higher impairment on quality of life [ 17 ]. Peribuccal pigmentation of Brocq is a specific type of facial pigmentation involving the peri-oral region with sparing of the vermillion border.…”

Section: Discussionmentioning

confidence: 99%

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Frequency of different types of facial melanoses referring to the Department of Dermatology and Venereology, Nepal Medical College and Teaching Hospital in 2019, and assessment of their effect on health-related quality of life

2020

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Background: Abnormalities of facial pigmentation, or facial melanoses, are a common presenting complaint in Nepal and are the result of a diverse range of conditions. Objectives: The objective of this study was to determine the frequency, underlying cause and impact on quality of life of facial pigmentary disorders among patients visiting the Department of Dermatology and Venereology, Nepal Medical College and Teaching Hospital (NMCTH) over the course of one year. Methods: This was a cross-sectional study conducted at the Department of Dermatology and Venereology, NMCT H. We recruited patients with facial melanoses above 16 years of age who presented to the outpatient department. Clinical and demographic data were collected and all the enrolled participants completed the validated Nepali version of the Dermatology Life Quality Index (DLQI). Results: Between January 5, 2019 to January 4, 2020, a total of 485 patients were recruited in the study. The most common diagnoses were melasma (166 patients) and post acne hyperpigmentation (71 patients). Quality of life impairment was highest in patients having melasma with steroid induced rosacea-like dermatitis (DLQI = 13.54 ± 1.30), while it was lowest in participants with ephelides (2.45 ± 1.23). Conclusion: Facial melanoses are a common presenting complaint and lead to substantial impacts on quality of life. Accurate diagnosis and management can prevent or treat many facial melanoses, including those that lead to substantial loss of quality of life, such as melasma with steroid induced rosacea-like dermatitis. Health care systems in low and middle-income countries should dedicate resources to the identification, prevention and treatment of these conditions to improve quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Frequency of different types of facial melanoses referring to the Department of Dermatology and Venereology, Nepal Medical College and Teaching Hospital in 2019, and assessment of their effect on health-related quality of life

2020

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“…Some authors argue that AD and LPP are just different names of the same entity. [3] Moreover, some authors suggest the term of “acquired dermal macular hyperpigmentation” as a hypernym encompassing Riehl's melanosis, LPP and AD that show clinicopathological overlap. [7] However, some authors thought that AD and LPP can be differentiated histopathologically.…”

Section: Discussionmentioning

confidence: 99%

“…A band like lymphocytic infiltration and Max-Joseph spaces as a result of degeneration of the basal layer with separation from underlying lamina propria can be seen in LPP but are absent in AD. [3] In the present study, the lesions showing band like infiltration and Max-Joseph spaces were excluded. All the cases showed histopathological inclusion criteria which have already been described in material and methods part.…”

Section: Discussionmentioning

confidence: 99%

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Dermoscopic diagnosis of ashy dermatosis: A retrospective study

Elmas

Acar

Kilitçi

2019

Indian Dermatol Online J

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Aim:Ashy dermatosis (AD) is a cutaneous pigmentation disorder with unknown etiology characterized by ash-colored hyperpigmented macules. The diagnosis of Ashy dermatosis is primarily based on the clinical and histopathological findings. In this study, we aimed to identify the dermoscopic features of AD, which may facilitate the diagnosis by reducing the need for invasive procedures.Material and Methods:The study included the patients diagnosed with Ashy dermatosis. Demographic, clinical, dermoscopic and histopathological features of the lesions were reviewed and the findings observed were recorded.Results:A total of 60 lesions from 15 patients were included. The most common dermoscopic finding were irregular linear dots and globules, pinkish brown color was the predominant color of the background, and found to be associated with early lesions. Among the vascular structures observed, irregular linear vessels were the most prevalent. There were no significant differences in terms of dermoscopic structures according to age and localization of the lesions.Conclusion:Dermoscopy can serve as a noninvasive helpful tool for the diagnosis of Ashy dermatosis.

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