Diagnostic perplexity in hypertrophic lichen planus: Dermoscopy saves the day!

Ankad, BalachandraS; Mukherjee, Sourav; Smitha, SV; Nikam, BalakrishnaP

doi:10.4103/cdr.cdr_59_20

Cited by 2 publications

(2 citation statements)

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“…15,18 Dermoscopic findings observed in LPH patients included white structures (90.0%), bluishblack pigmentation (80.0%), comedo-like openings (50.0%), corn pearls (20.0%), brown pigmentation (20.0%), red dots (20.0%) and red globules (10.0%). [19][20][21] Our studies demonstrated white structures (81.0%), brownish globules pigmentation (11.0%), dotted vessels (74.0%), Wickam striate (63.0%), and violaceous background (9.0%) suggesting dermoscopic features of lichen planus.…”

Section: Discussionmentioning

confidence: 59%

Clinico-dermoscopic study of inflammatory dermatoses: a hospital based cross sectional study

Thapa,

Pradhan,

Adhikari

et al. 2023

Nep. Med. Coll. J.

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Dermoscopy is a noninvasive, fast, and reliable diagnostic technique used to magnify and visualize structures on and beneath the skin surface which is difficult to observe by naked eyes, creating a link between macroscopic clinical dermatology and microscopic dermatopathology. The purpose of this study is to evaluate and compare the dermoscopic features of common inflammatory dermatological conditions of skin sharing similar clinical presentation according to the available literature data. All dermoscopic findings were studied using a handheld pocket dermoscopy (Dermlite DL1) with high magnification. Variables used for dermoscopic evaluation were divided into vascular and nonvascular features and specific clues. Descriptive analysis and Chi square test were used where appropriate and p < 0.05 was considered statistically significant. There were a total of 205 patients enrolled in the study. The most common clinical diagnosis was psoriasis seen in 42.0%, lichen planus in 13.0%, contact dermatitis in 12.0%, polymorphic light eruption 7.0%, seborrheic dermatitis 4.0%, discoid lupus erythematosus 5.0%, pityriasia Rosea 5.0%, urticaria 5.0% and others 7.0%. Dermoscopic vascular changes were seen as regular in 52.0% and irregular in 46.0%. The most common type of vessels observed were dotted in 70.0%, linear in 7.0%, and coiled in 2.0%. Non-vascular changes were seen in 61.0%. The commonest type of scales were whitish scales seen in 63.0%. Pigmentary changes were seen in 19.0%. The commonest type of vessels observed were dotted vessels (p value 0.000) in most inflammatory diseases. Features like wickham striae were characteristic of lichen planus (p value 0.000). The characteristic dermoscopic features of various inflammatory disorders with the help of a dermoscope is easy to perform in outpatient without any invasive method and also helpful in guiding management of the patients with follow-up.

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Section: Discussionmentioning

confidence: 59%

Clinico-dermoscopic study of inflammatory dermatoses: a hospital based cross sectional study

Thapa,

Pradhan,

Adhikari

et al. 2023

Nep. Med. Coll. J.

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“…Application of dermatoscopy is straightforward and fast and can be easily incorporated into clinical routine [ 1 – 3 ]. An increasing number of publications on alternative applications of dermatoscopy suggests that dermatoscopy is gaining appreciation for the diagnosis of non-neoplastic skin diseases, such as inflammatory skin diseases and skin infections and infestations [ 2 – 4 ]. Due to its broader scope, the vocabulary of dermatoscopy expanded significantly over the last few years [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Dermatoscopy of Cutaneous Lichen Planus – Attempt to Translate Metaphoric Terminology Into Descriptive Terminology

Szykut-Badaczewska,

Sikora,

Rudnicka

et al. 2023

Dermatol Pract Concept

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Introduction: Dermatoscopy is gaining appreciation in assisting the diagnosis of inflammatory dermatoses (inflammoscopy). Lichen planus (LP) is a common inflammatory skin disease with characteristic dermatoscopic features. Objectives: The objective of this study was to review the literature on the dermatoscopy of lichen planus and to re-evaluate the published descriptions in the light of the 2019 expert consensus on the terminology of dermatoscopy for non-neoplastic skin diseases. Methods: We searched the PubMed database using the keywords ‘lichen planus and dermatoscopy’, ‘lichen planus and dermoscopy’, ‘lichen planus and epiluminescence microscopy’, and ‘lichen planus and inflammoscopy’. Results: Of 413 articles retrieved, we selected 67 articles for full-text review, and finally included 63 articles, mostly case reports or small case series, comprising 572 patients with lichen planus. We identified 113 different terms or short descriptions that were used to characterize the dermatoscopy of lichen planus. Frequently, authors applied various terms to variants of the same feature. Although reported under different designations, Wickham striae were the most consistent dermatoscopic feature of lichen planus. Other characteristics of lichen planus, such as vascular patterns, pigmented structures, and follicular findings were less consistent or depended on skin type, anatomic site, disease stage, and applied treatment. Conclusions: While Wickham striae are the single most important clue for diagnosis, other dermatoscopic characteristics of lichen planus are less consistent. Based on descriptions published in the literature we established a dictionary of useful terms for the description of lichen planus that is consistent with the terminology suggested by the recent consensus conference.

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Diagnostic perplexity in hypertrophic lichen planus: Dermoscopy saves the day!

Cited by 2 publications

References 0 publications

Clinico-dermoscopic study of inflammatory dermatoses: a hospital based cross sectional study

Clinico-dermoscopic study of inflammatory dermatoses: a hospital based cross sectional study

Dermatoscopy of Cutaneous Lichen Planus – Attempt to Translate Metaphoric Terminology Into Descriptive Terminology

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