Dermoscopy for the Screening of Common Urticaria and Urticaria Vasculitis

Vázquez‐López, Francisco; Fueyo, A.; Sánchez-Martín, Jesús; Pérez‐Oliva, Narciso

doi:10.1001/archderm.144.4.568

Cited by 29 publications

(23 citation statements)

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“…12 Purpuric dots and globules in a patchy, orange-brown background have also been described in two cases of urticarial vasculitis, but the latter is not included in the differential diagnosis of MF. 13 Our study has several limitations. First, it was conducted retrospectively.…”

Section: Discussionmentioning

confidence: 91%

“…This observation could be of interest, given that there is a specific subtype of MF that closely resembles pigmented purpuric dermatoses 12 . Purpuric dots and globules in a patchy, orange‐brown background have also been described in two cases of urticarial vasculitis, but the latter is not included in the differential diagnosis of MF 13 …”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Dermoscopy of early stage mycosis fungoides

Lallas

Apalla

Lefaki

et al. 2012

Acad Dermatol Venereol

103

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 95%

Dermoscopy of early stage mycosis fungoides

Lallas

Apalla

Lefaki

et al. 2012

Acad Dermatol Venereol

103

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“…8). 43,44 Porokeratosis In contrast, dermoscopy of urticarial vasculitis reveals purple-red dots/globules on an orangebrown background (Fig.…”

Section: Common Urticaria and Urticarial Vasculitismentioning

confidence: 99%

Dermoscopy in general dermatology: practical tips for the clinician

Giacomel²,

et al. 2014

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In addition to its well-documented value in improving the diagnosis of skin tumours, dermoscopy is continually gaining appreciation in the field of general dermatology. Dermoscopy has been shown to facilitate the clinical recognition of several inflammatory and infectious diseases, as well as their discrimination from skin tumours. Moreover, recent data indicate that it might also be profitable in assessing the outcome and adverse effects of various treatments. Application of dermoscopy should follow the standard procedure of acquiring information from patient history and clinically evaluating the number, location and morphology of the lesion(s). Four parameters should be assessed when applying dermoscopy in the realm of inflammatory and infectious diseases: (i) morphological vascular patterns; (ii) arrangement of vascular structures; (iii) colours; and (iv) follicular abnormalities, while the presence of other specific features (clues) should also be evaluated. It must be underlined that dermoscopic findings should always be interpreted within the overall clinical context of the patient, integrated with information from the history and the macroscopic examination. With new evidence continuously being gathered, the dermatoscope gradually acquires a role similar to the stethoscope of general practitioners, becoming an irreplaceable clinical tool for dermatologists. In this article, we provide a succinct summary of existing data on dermoscopy in general dermatology. Practical tips are suggested, which can assist clinicians in profitably utilizing and applying the available knowledge in their everyday practice.

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“…In addition, nonvascular areas within vascular structures, as a consequence of massive edema, may be detected. 100 Unlike common urticaria, urticarial vasculitis displays numerous purpuric dots or globules on an orange-brown pigmentation, the recognition of which is relevant to their differentiation. Both red lines and purpuric globules are nonspecific for urticaria or urticarial vasculitis, although the presence of purpuric globules is regarded as highly indicative of an underlying vasculitis.…”

Section: Urticaria and Urticarial Vasculitismentioning

confidence: 99%

“…Both red lines and purpuric globules are nonspecific for urticaria or urticarial vasculitis, although the presence of purpuric globules is regarded as highly indicative of an underlying vasculitis. 100 Based on this, dermatoscopy may be considered a first-line screening tool for a noninvasive and low-cost diagnosis in daily practice.…”

Section: Urticaria and Urticarial Vasculitismentioning

confidence: 99%