Handheld reflectance confocal microscopy, dermatoscopy and histopathological correlation of common inflammatory balanitis

Lacarrubba, Francesco; Verzì, Anna Elisa; Ardigò, Marco; Micali, Giuseppe

doi:10.1111/srt.12460

Cited by 16 publications

(21 citation statements)

References 34 publications

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“…Regarding dermoscopic appearance of Zoon plasma cell balanitis, our findings are in line with those coming from previous smaller studies, with orange structureless areas (diffuse or focal) and focused linear curved vessels being the most common features (over than 90% of cases) as well as the stronger parameters to differentiate this type of balanitis from EQ and psoriatic/candidal balanitis. From a dermoscopic–pathologic point of view, orange structureless areas and linear curved vessels respectively correspond to hemosiderin deposition and vascular dilatation in the dermis .…”

Section: Discussionsupporting

confidence: 91%

Accuracy of dermoscopy in distinguishing erythroplasia of Queyrat from common forms of chronic balanitis: results from a multicentric observational study

Errichetti

Lallas

Stefani

et al. 2018

Acad Dermatol Venereol

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Background Clinical differentiation of erythroplasia of Queyrat (EQ) and chronic forms of balanitis may be challenging, especially in early phases or in overlapping cases. Dermoscopy has been shown to be a useful supportive tool in facilitating the distinction between tumoral and inflammatory skin conditions; yet, data on EQ and balanitis are scarce or sparse.Objectives To systematically assess the dermoscopic features of both EQ and common forms of chronic balanitis and to investigate the accuracy of dermoscopy in distinguishing these conditions.Methods Subjects with EQ or chronic balanitis confirmed histologically or microbiologically (for infectious forms) were recruited. A representative dermoscopic image of a target lesion was retrospectively assessed for the presence of specific morphological findings. A correlation matrix was created using Spearman's rho. Proportions of dermoscopic variables scoring among different conditions were compared with the non-parametric Pearson's chi-square test.Results A total of 81 lesions (14 EQ, 23 psoriasis, 31 Zoon plasma cell balanitis and 13 candidal balanitis) from 81 patients were included in the study. Glomerular vessels (both clustered and diffusely distributed) were highly predictive for the diagnosis of EQ, while diffuse dotted vessels were strongly associated with psoriatic balanitis. Finally, Zoon plasma cell balanitis was characterized by orange structureless areas (focal or diffuse) and focused linear curved vessels, whereas cottage cheese-like structures (sparse white coating corresponding to Candida yeast colonies growth) showed a strong correlation with candidal balanitis. Conclusions Erythroplasia of Queyrat and balanitis may display different dermoscopic patterns, thereby bearing the usefulness of dermoscopy as a supportive non-invasive tool for the recognition and differential diagnosis of such conditions.

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Section: Discussionsupporting

confidence: 91%

Accuracy of dermoscopy in distinguishing erythroplasia of Queyrat from common forms of chronic balanitis: results from a multicentric observational study

Errichetti

Lallas

Stefani

et al. 2018

Acad Dermatol Venereol

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“…They were observed at a frequency ranging from 97.1% (135/139) to 100% (100/100, 83/83, 20/20). Red dots/globules were observed in lesions located on the trunk, extremities and the scalp, as well as on the face, genitals, palms, soles and skin folds …”

Section: Resultsmentioning

confidence: 99%

“…Red dots/globules were observed in lesions located on the trunk, extremities and the scalp, as well as on the face, genitals, palms, soles and skin folds. 4,8 The study of V azquez-L opez et al 7 revealed the coexistence of red lines and red dots in psoriatic plaques in an examination with a handheld dermoscope. According to authors, the presence of red lines may suggest the overuse of topical glucocorticosteroids.…”

Section: Dermoscopy Of Psoriatic Lesions Of the Skinmentioning

confidence: 99%

Dermoscopic features of psoriasis of the skin, scalp and nails – a systematic review

Golińska

Sar‐Pomian

Rudnicka

2019

Acad Dermatol Venereol

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Dermoscopy is a non-invasive in-office method, which enables the diagnosis of many dermatoses and reduces the need for performing biopsies. To date, no systematic review about the diagnostic usability of dermoscopy in psoriasis has been available. The objective of this article was to summarize and critically analyse literature data on the dermoscopy of skin, scalp and nail changes in psoriasis. A systematic search of three medical databases was performed. A total of 45 articles were included into the analysis. Cutaneous psoriatic lesions assessed in all studies at a low magnification showed regularly distributed red dots. At a 50-fold or higher magnification capillary bushes (glomerular vessels) with a diameter range of 50-146 lm were observed. The background colour was described as reddish or pinkish with white or yellowish scales. The most frequent dermoscopic (trichoscopic) feature of scalp psoriasis was the presence of red dots/ globules and twisted red loops. Typical dermoscopic (onychoscopic) signs of nail psoriasis were onycholysis, salmon patches and splinter haemorrhages. There is an accumulating body of evidence that dermoscopy (both handheld and videodermoscopy) is a useful tool in differential diagnosis in doubtful cases of psoriasis of the skin, scalp, nails, palms, soles and genital regions.

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“…On dermoscopy, homogeneously distributed, dilated, and dotted vessels on an erythematous background are seen. [36]…”

Section: Inflammatory Disordersmentioning

confidence: 99%

“…On dermatoscopy, white structures which also appear pinkish are seen, which correspond to sclerosis on histopathology. [36] Gray-blue dots are arranged in peppering pattern, which corresponds to the dermal melanophages. Marked decrease in the concentration of vessels and presence of polymorphic patterns of vessels are the hallmark features [Figure 9b].…”

Section: Inflammatory Disordersmentioning

confidence: 99%

Dermatoscopy of nonvenereal genital dermatoses: A brief review

Kamat

Vinay

2019

Indian J Sex Transm Dis

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The scope of dermatoscopy has now vastly expanded and shows promising use for characterization of both pigmentary and inflammatory dermatoses affecting the skin, nail, and mucosae. Due to concerns of contamination and spread of infection, dermatoscopy has not been widely studied for genital mucosal dermatoses. In this article, we review the dermatoscopic features of nonvenereal dermatosis affecting the genitalia. Although biopsy is required for a definitive diagnosis, dermatoscopy is useful to identify atypical and suspicious pigmentary lesions. For the inflammatory dermatoses and other benign dermatoses, presence of few characteristic findings can aid in the diagnosis.

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Handheld reflectance confocal microscopy, dermatoscopy and histopathological correlation of common inflammatory balanitis

Abstract: The use of handheld RCM as complementary tool in everyday clinical practice for the evaluation of inflammatory diseases involving sensitive areas such as male genitalia, may contribute to reduce the need of invasive procedures.

Cited by 16 publications

References 34 publications

Accuracy of dermoscopy in distinguishing erythroplasia of Queyrat from common forms of chronic balanitis: results from a multicentric observational study

Accuracy of dermoscopy in distinguishing erythroplasia of Queyrat from common forms of chronic balanitis: results from a multicentric observational study

Dermoscopic features of psoriasis of the skin, scalp and nails – a systematic review

Dermatoscopy of nonvenereal genital dermatoses: A brief review

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