Is the setting sun dermoscopic pattern specific to juvenile xanthogranuloma?

Litaiem, Noureddine; Zéglaoui, Faten

doi:10.1016/j.jaad.2017.09.079

Cited by 12 publications

(12 citation statements)

References 8 publications

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“…The ‘setting sun’ appearance observed dermoscopically in some lesions results from the presence of a thin erythematous border encircling the homogeneous orange-yellowish hue. This pattern, usually found in early stages of XG, has been also described in other skin lesions with a xanthogranulomatous dermal infiltrate 13…”

Section: Discussionsupporting

confidence: 71%

Multiple xanthogranulomas in an adult patient: clinical, dermoscopic, reflectance confocal microscopy and histopathological features

et al. 2019

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A case of multiple xanthogranulomas located bilaterally on arms, armpits, legs, trunk, abdomen, scalp, neck and plantar surfaces in a 25-year-old man is reported. The patient was evaluated by polarised light dermoscopy and reflectance confocal microscopy (RCM) that showed peculiar aspects. In particular, dermoscopy showed a homogeneous orange-yellowish hue that is related to the histopathological presence of foamy histiocytes and Touton giant cells; the last typically appeared at RCM as peculiar giant cells surrounded by highly refractive ring due to the cytoplasm rich of lipids. Laboratory investigations, including routine haematological examination, liver and renal function tests, serum lipid and sugar levels were normal. The patient started isotretinoin 20 mg once daily. After 6 months, some lesions flattened, leading to yellowish or hyperpigmented macules, but new lesions raised up.

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Section: Discussionsupporting

confidence: 71%

Multiple xanthogranulomas in an adult patient: clinical, dermoscopic, reflectance confocal microscopy and histopathological features

et al. 2019

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“…4 White circles with a salmon-coloured background are characteristic of B-cell lymphoma, whereas a yellow-orange centre surrounded by an erythematous border ('setting sun appearance') is described in histiocytosis. 5 Histologically, the disease is typically characterized by diffuse dermal infiltrate of histiocytes, accompanied by a variable degree of background infiltrate of lymphocytes, plasma cells, eosinophils and collections of neutrophils. Emperipolesis, which represents the presence of intact inflammatory cells within histiocytes, is a useful, but not specific, criterion for the diagnosis of CRDD.…”

Section: Discussionmentioning

confidence: 99%

“…Dermoscopy showed features of both B‐cell lymphoma and histiocytosis . White circles with a salmon‐coloured background are characteristic of B‐cell lymphoma, whereas a yellow–orange centre surrounded by an erythematous border (‘setting sun appearance’) is described in histiocytosis …”

Section: Discussionmentioning

confidence: 99%

A self‐limited infiltrative plaque on the back

et al. 2019

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“…47 Although a similar pattern may be observed in spitz nevus, sebaceous hyperplasia, xanthomatousdermatofibroma, histiocytic sarcoma, and mastocytoma on dermoscopy. 48…”

Section: Setting Sun Signmentioning

confidence: 99%

Evolving eponymous signs in diagnostic dermoscopy

Bothra¹,

Das²,

Maheswari³

et al. 2021

IJCED

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Dermoscopy is a very useful technique devised for an earlier diagnosis of skin melanoma with a clinic-pathological correlation. Later it was found to be beneficial for the diagnosis of many other pigmented skin lesions, such as seborrheic keratosis, pigmented basal cell carcinoma, hemangioma, blue nevus, atypical nevus, and mole, which can often clinically simulate melanoma. Of late, its use in general clinical dermatology is growing with the recognition of new and specific patterns in conditions such as hair disorders, inflammatory disorders, and infections/infestation. It is still in the evolving phase and many new signs are described presently. Eponyms are used almost daily in dermatology practice. The eponyms in dermoscopy, trichoscopy, and onychoscopy are based on the imaginative capability of the authors and they have been very much successful in describing them. It becomes easier to memorize and identify the various appearances for early diagnosis and management. In this article we attempt to highlight the various dermoscopic signs described in dermatology.

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Is the setting sun dermoscopic pattern specific to juvenile xanthogranuloma?

Cited by 12 publications

References 8 publications

Multiple xanthogranulomas in an adult patient: clinical, dermoscopic, reflectance confocal microscopy and histopathological features

Multiple xanthogranulomas in an adult patient: clinical, dermoscopic, reflectance confocal microscopy and histopathological features

A self‐limited infiltrative plaque on the back

Evolving eponymous signs in diagnostic dermoscopy

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