Diagnostic Accuracy of Trichoscopy in Inflammatory Scalp Diseases: A Systematic Review

Golińska, Joanna; Sar‐Pomian, Marta; Rudnicka, Lidia

doi:10.1159/000517516

Cited by 20 publications

(19 citation statements)

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“…The vascular pattern of scalp psoriasis has been observed to be similar to that of psoriasis vulgaris, with the most common being the red dot/bulb vessels (94.0%). However, the twisted red loops were more common in patients with scalp psoriasis (57.8%) than in those with psoriasis vulgaris 40 . Scales on the scalp were observed more frequently than in other parts of the body, often being white, diffuse or patchy, and thick (Figure 3B).…”

Section: Diagnosismentioning

confidence: 99%

“…The twisted red loops, which are similar to the pattern observed in psoriasis, have been relatively rare. 40,41,66,67 While the incidence of white scales has been comparable in both lesions, the differentiation between them has been based mainly on vascular features. 40,66 Using the abovementioned dermoscopic differential characteristics, a diagnostic method for discriminating scalp psoriasis and seborrheic dermatitis based on a deep learning model was developed, which exhibited a good sensitivity, specificity and area under curve, which outperformed the diagnoses of five dermatologists with various levels of experience.…”

Section: Differential Diagnosis Of Scalp Psoriasismentioning

confidence: 99%

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Clinical value of dermoscopy in psoriasis

Wu,

Sun

2023

J of Cosmetic Dermatology

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BackgroundDermoscopy is a noninvasive technique that has attracted increasing attention in the field of inflammatory skin diseases (such as psoriasis) in recent years.ObjectiveThis study aimed to provide an up‐to‐date overview of the role of dermoscopy in the diagnosis and extra‐diagnosis of psoriasis.MethodsThis study sought to review the published literature regarding use of dermoscopy in the evaluation of psoriasis.ResultsThe diagnostic value of dermoscopy in psoriasis vulgaris, nail psoriasis, and other types of psoriasis was summarized from the aspects of vascular pattern, scale pattern, and other features. Meanwhile, the application value of dermoscopy in the differential diagnosis, efficacy and severity assessment, prediction and monitoring of psoriasis was discussed.ConclusionDermoscopy has good clinical value in the diagnosis and differential diagnosis of psoriasis and shows great prospects for severity assessment and efficacy prediction monitoring.

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Section: Diagnosismentioning

confidence: 99%

Section: Differential Diagnosis Of Scalp Psoriasismentioning

confidence: 99%

Clinical value of dermoscopy in psoriasis

Wu,

Sun

2023

J of Cosmetic Dermatology

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“…Das trichoskopische Bild der seborrhoischen Dermatitis auf der Kopfhaut ist gekennzeichnet durch gelblich-weiße Schuppung, spiralförmige, verzweigte, kommaartige Gefäße [ 7 ]. Die Art und Form der Blutgefäße hilft uns, die seborrhoische Dermatitis der Kopfhaut von der Psoriasis capitis zu unterscheiden (punktförmig, globulär) ([ 20 ]; Tab. 2 ).…”

Section: Ekzemunclassified

Dermoscopy of inflammatory skin diseases

Szebényi

Légrádi²,

Németh

et al. 2023

Dermatologie

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ZusammenfassungDas Dermatoskop wurde ursprünglich in der Dermatologie eingesetzt, um zwischen pigmentierten und nicht pigmentierten, gut- und bösartigen Tumoren zu unterscheiden. In den letzten 2 Jahrzehnten hat sich der Anwendungsbereich der Technik jedoch erweitert, und diese Untersuchungsmethode hat bei der Diagnose von Nichttumorerkrankungen, insbesondere von entzündlichen Hauterkrankungen, zunehmend an Bedeutung gewonnen. Bei der Beurteilung allgemeiner entzündlicher Hauterkrankungen wird empfohlen, nach der klinischen Untersuchung eine dermatoskopische Untersuchung durchzuführen. In der folgenden Zusammenfassung beschreiben die Autoren die dermatoskopischen Merkmale der einzelnen entzündlichen Hauterkrankungen. Zu den detaillierten Parametern gehören die Gefäßstruktur, die Farbe, die Schuppung, das Follikelmuster und das mit jeder Krankheit verbundene spezifische Muster.

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“…The images obtained may be visualized on a monitor and stored on a personal computer in order to check for any possible change over time. [10][11][12] In clinical practice, dermoscopy may turn out to be crucial to differentiate between scalp SD and other common scaling disorders, such as psoriasis or tinea capitis, based on specific dermoscopy hallmarks. 13 In particular, in psoriasis dermoscopy findings include the presence (100% of the cases) of bushy capillaries with twisted loops, whereas in tinea capitis "comma" hair (C-shaped hair shaft with a sharp, slanting end, and homogenous thickness), "corkscrew" hair (twisted or coiled, short, broken hair fragments), "zigzag" hair (hair shaft bent at multiple points) and "morse code" hair (presence of multiple transverse bands or gaps throughout the hair shaft) may be observed.…”

Section: Dermatoscopymentioning

confidence: 99%

An Overview of the Diagnosis and Management of Seborrheic Dermatitis

Dall’Oglio¹,

Nasca²,

Gerbino³

et al. 2022

CCID

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Seborrheic dermatitis (SD) is a common chronic inflammatory skin disorder that mostly affects young adults in areas rich in sebaceous glands (scalp, face, and trunk). In adolescents and adults, SD clinical presentation may range from mild patches to diffuse scalp scaling. In infants, it mainly occurs on the scalp as yellowish, scaly patches (“cradle cap”). In adults, several environmental triggers are likely to promote SD development, along with fungal colonization by Malassezia spp., sebaceous gland activity, as well as immunosuppression, endocrine, neurogenic and iatrogenic factors. In children, early occurrence in the first trimester suggests the role of excessive sebaceous gland activity from maternal hormones, along with cutaneous microbiome alterations. The diagnosis of SD is usually clinical, and specific laboratory and/or instrumental investigations are seldom required. Treatment is aimed at modulating sebum production, reducing skin colonization by Malassezia spp., and controlling inflammation. In adults, mild-to-moderate scalp SD forms can be managed with topical antifungals (ketoconazole, ciclopirox, miconazole) or antiinflammatory (mild-to-moderate potency corticosteroids) or keratolytic/humectant (propylene glycol) agents. Recommended topical therapeutic options for mild-to-moderate facial or body areas SD include topical ketoconazole, ciclopirox, clotrimazole, mild-to-moderate potency corticosteroids, lithium succinate/gluconate, and topical calcineurin inihibitors ( off-label use ). In severe and/or resistant cases, the use of systemic antifungal drugs (terbinafine, itraconazole), as well as UVB phototherapy, may be considered. In children, scant scientific evidence supports the effectiveness and safety of topical drugs, and “cradle cap” is usually successfully managed with baby shampoos enriched with emollient agents and vegetable oils. Alternatively, similarly to adult scalp SD, medical device shampoos with antiinflammatory and antifungal properties, containing piroctone olamine, bisabolol, alyglicera, telmesteine, may be used. Beyond pharmacological treatments, an appropriate cosmetic approach, if correctly prescribed, may improve therapeutic outcomes.

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Diagnostic Accuracy of Trichoscopy in Inflammatory Scalp Diseases: A Systematic Review

Cited by 20 publications

References 64 publications

Clinical value of dermoscopy in psoriasis

Clinical value of dermoscopy in psoriasis

Dermoscopy of inflammatory skin diseases

An Overview of the Diagnosis and Management of Seborrheic Dermatitis

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