Dermoscopy in Facilitating the Recognition of Poikiloderma of Civatte

Errichetti, Enzo; Stinco, Giuseppe

doi:10.1097/dss.0000000000001222

Cited by 6 publications

(5 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, they noted the presence of follicular keratotic plugs and delicate reticular or structureless brownish areas in 25% and 12.5% of the cases, respectively. 7 Our findings are in line with the findings of Errichetti and Stinco.…”

Section: Discussionsupporting

confidence: 92%

“…This pattern was initially described in patients with PC by Errichetti and Stingo as "spaghetti and meatballs" pattern. 7 • Non-specific pattern: areas of irregular linear telangiectasias that are irregularly distributed and do not correspond to any specific pattern.…”

Section: Resultsmentioning

confidence: 99%

“…Errichetti and Stinco studied 8 consecutive cases (6 women and 2 men, aged 42-73 years, mean 51 years) of clinically diagnosed PC. 7 The authors described, in all patients, a combination of dotted/globular vessels and linear irregular vessels, giving the impression of "spaghetti and meatballs", along with perifollicular whitish (spared) areas. In addition, they noted the presence of follicular keratotic plugs and delicate reticular or structureless brownish areas in 25% and 12.5% of the cases, respectively.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study

Katoulis

Sgouros

Bozi

et al. 2023

Dermatol Pract Concept

View full text Add to dashboard Cite

Introduction: Poikiloderma of Civatte (PC) is a common, acquired, chronic, benign poikiloderma of the neck and face, most commonly affecting menopausal females. Until the day of writing, few have been published regarding dermoscopy of PC. Objective: To describe the dermoscopic picture of PC, so as to provide a clinico-dermoscopic diagnosis and differential diagnosis for PC. Methods: Twenty-eight patients with PC, aged 26-73 years, of whom 19 females (67.86%) were evaluated by detailed history, clinical examination, and dermoscopic examination with hand-held dermatoscope. Results: The reticular pattern was observed in 15 cases (53.6%); the white dot in 10 (35.7%); the non-specific in 9 (32.1%); and the spaghetti and meatballs-like in 8 (28.6%). Regarding local dermoscopic features, flying seagull-like vessels were observed in 18 cases (64.3%); linear irregular vessels in 17 (60.7%); rhomboidal/polygonal vessels in 15 (53.6%); dotted/globular vessels in 10 (35.7%); white macules in 23 (82.1%); brown macules in 11 (39.3%); and whitish follicular plugs in 6 (21.4%). Conclusions: The dermoscopic picture of PC is highly characteristic and corresponds well to both clinical and histological findings. Dermoscopy may assist clinical diagnosis, as well as the differentiation from other dermatoses of the neck and face, especially poikilodermas with guarded prognosis.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study

Katoulis

Sgouros

Bozi

et al. 2023

Dermatol Pract Concept

View full text Add to dashboard Cite

show abstract

“…From a dermoscopic-pathological correlation point of view, pigmentary structures would correspond to basal layer pigmentation, whereas white areas and white scaling are likely to be associated with atrophic epidermis/ dermal fibrosis and hyperkeratosis, respectively. 4,12 The aforementioned dermoscopic findings may be helpful in differentiating poikilodermatous MF from other common forms of poikiloderma, including poikiloderma of Civatte, typically featuring 'spaghetti and meatballs' vascular pattern (combination of dotted/globular vessels and linear irregular vessels) and perifollicular whitish (spared) areas, 26 and Riehl's melanosis, which is characterized by brown pseudonetwork, grey dots/granules and telangiectatic vessels. 27…”

Section: Discussionmentioning

confidence: 99%

Dermoscopic spectrum of mycosis fungoides: a retrospective observational study by the International Dermoscopy Society

Errichetti

Apalla

Geller

et al. 2022

Acad Dermatol Venereol

View full text Add to dashboard Cite

Background The dermoscopic features of classic patch stage mycosis fungoides (MF) have been described, but data on plaque and tumoral stage as well as rarer MF subtypes is limited. Objective To evaluate dermoscopic morphology and dermoscopic‐pathological correlations of classic MF stages and investigate dermoscopic features of MF variants. Methods Patients with histopathologically confirmed lesions of classic MF (patch, plaque and tumoral stage) or folliculotropic, erythrodermic and poikilodermatous MF were included. Standardized evaluation of dermoscopic pictures of the included MF variants and comparative analysis and dermoscopic‐pathological correlation assessment of different stages of classic MF were performed. Results A total of 118 instances were included (75 classic MF, 26 folliculotropic MF, 9 erythrodermic MF and 8 poikilodermatous MF). Linear/linear‐curved vessels and white scales in the skin furrows were significantly associated with patch‐stage MF, while clustered dotted vessels were related to plaque‐stage MF and peripheral linear vessels with branches, ulceration and red globules separated by white lines to tumour‐stage MF. Moreover, patchy white scales were significantly more common in patches and plaques compared to tumours, whereas focal bright white structureless areas were related to plaque and tumoral stage. Vessels histopathologically corresponded to dilated vascular structures in the dermis, orange structureless areas to either dermal hemosiderin (patch/plaque stage) or dense cellular infiltration (tumours), bright white lines/structureless areas to dermal fibrosis and ulceration to loss of epidermis. The main dermoscopic findings of folliculotropic MF were lack of hairs, dilated follicles and follicular plugs, while erythrodermic MF was mainly characterized by linear/dotted vessels, patchy white scales and focal orange structureless areas and poikilodermatous MF by focal white and brown structureless areas, white patchy scales and brown reticular lines. Conclusion Dermoscopy may allow a more precise characterization of classic MF and reveal clues suggestive of the main MF variants.

show abstract

“…In addition to the differentiation from rosacea, dermoscopy may also be helpful to distinguish SLE malar rash from other less common dermatoses presenting with facial erythema as they show different features. In particular, demodicosis mainly shows the so-called ‘ Demodex tails’ (protruding follicular plugs) and ‘ Demodex follicular openings’ (round and coarse follicular openings containing light brown/greyish plugs surrounded by an erythematous halo); 11 facial poikiloderma of Civatte typically shows a combination of dotted/globular vessels and linear-irregular vessels, giving rise to a ‘spaghetti and meatballs’-like aspect; 14 keratosis pilaris rubra atrophicans faciei frequently displays whitish follicular plugs over a reddish background with or without telangiectatic vessels; 15 erythromelanosis follicularis faciei et colli classically features follicular keratotic plugs over a reddish-brown background, along with perifollicular and interfollicular grey-blue granules; 15 and facial erythema of dermatomyositis generally shows more or less focused reticular/linear-irregular vessels, representing the ectatic subpapillary vascular plexus through the atrophic epidermis. 10…”

Section: Discussionmentioning

confidence: 99%

Dermoscopy in the differential diagnosis between malar rash of systemic lupus erythematosus and erythematotelangiectatic rosacea: an observational study

Errichetti

Lallas

Marchi

et al. 2019

Lupus

View full text Add to dashboard Cite

Background Malar rash is one of the three cutaneous diagnostic criteria of systemic lupus erythematosus (SLE). Although its clinical recognition is often straightforward, the differential diagnosis with erythematotelangiectatic rosacea may sometimes be challenging. Objective To describe dermoscopic features of SLE malar rash and investigate the accuracy of dermoscopy for the differential diagnosis with erythematotelangiectatic rosacea. Methods A representative dermoscopic image of target areas was evaluated for the presence of specific features. Fisher’s test was used to compare their prevalence between the two cohorts, and accuracy parameters (specificity, sensitivity, and positive and negative predictive values) were evaluated. Results Twenty-eight patients were included in the analysis, of which 13 had SLE malar rash and 15 erythematotelangiectatic rosacea. The main dermoscopic features of malar rash were reddish/salmon-coloured follicular dots surrounded by white halos (‘inverse strawberry’ pattern), being present in 53.9% of the cases, while network-like vessels (vascular polygons) turned out to be the main feature of erythematotelangiectatic rosacea, with a prevalence of 93.3%. The comparative analysis showed that the ‘inverse strawberry’ pattern was significantly more common in SLE malar rash, with a specificity of 86.7%, while vascular polygons were significantly more frequent in rosacea, with a specificity of 92.3%. Conclusion Dermoscopy may be a useful support to distinguish SLE malar rash and erythematotelangiectatic rosacea by showing peculiar features.

show abstract

Dermoscopy in Facilitating the Recognition of Poikiloderma of Civatte

Cited by 6 publications

References 4 publications

Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study

Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study

Dermoscopic spectrum of mycosis fungoides: a retrospective observational study by the International Dermoscopy Society

Dermoscopy in the differential diagnosis between malar rash of systemic lupus erythematosus and erythematotelangiectatic rosacea: an observational study

Contact Info

Product

Resources

About