The Furrow Ink Test

Braun, Ralph P.; Thomas, Luc; Kolm, Isabel; French, Lars E.; Marghoob, Ashfaq A.

doi:10.1001/archderm.144.12.1618

Cited by 31 publications

(4 citation statements)

References 10 publications

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“…The ink is then wiped away, revealing residual ink within the furrows. 42 The BRAAFF Checklist Lallas and colleagues 28 found that only 38.2% of ALMs present with PRP. In response to this finding, a distinct framework was established, the BRAAFF checklist.…”

Section: The 3-step Algorithmmentioning

confidence: 99%

Diagnosis and Management of Acral Pigmented Lesions

Ingrassia,

Stein,

Levine

et al. 2023

Dermatol Surg

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BACKGROUND Survival outcomes in acral lentiginous melanoma (ALM) are worse than for cutaneous melanoma. Diagnostic delays are believed to contribute to worse outcomes in ALM, including advanced-stage disease at initial presentation. Acral lentiginous melanoma, especially in its early stages, may be difficult to discern from benign pigmented acral lesions. OBJECTIVE The purpose of this article is to provide a comprehensive review of the diagnosis and management of acral pigmented lesions. MATERIALS AND METHODS A literature review was performed. The outcomes included were the clinical and dermoscopic features and the management frameworks and considerations for acquired and congenital melanocytic nevi, acral melanosis, nonmelanocytic pigmented lesions, and ALM. RESULTS Original research studies were primarily included. The use of dermoscopy, such as the 3-step algorithm and blotch (irregular), ridge pattern (parallel), asymmetry of structures, asymmetry of colors, furrow pattern (parallel), fibrillar pattern (BRAAFF) checklist, increases the diagnostic accuracy of acral pigmented lesions with high specificity and sensitivity. Short-term digital dermoscopic surveillance can be used to manage acral lesions, and histopathology should be collected when there is a concern for ALM. CONCLUSION The use of dermoscopy and an understanding of how to manage acral lesions may limit the number of biopsies performed on the acral skin, decrease the time to diagnosis, and facilitate early detection of ALM.

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Section: The 3-step Algorithmmentioning

confidence: 99%

Diagnosis and Management of Acral Pigmented Lesions

Ingrassia,

Stein,

Levine

et al. 2023

Dermatol Surg

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“…Sometimes, it is not easy to distinguish the location of the pigment, whether it concerns either furrows or ridges, and this makes the diagnosis of a pigmented lesion much more difficult. In doubtful cases, Braun et al [21] recommend a simple ink furrow test. This in turn will make it easy to evaluate whether the melanin pigmentation follows the ink lines (the benign pattern) (Figure 5) or if the pigmentation is located between these ink lines (the malignant pattern).…”

Section: Resultsmentioning

confidence: 99%

Tips and tricks in the dermoscopy of pigmented lesions

Kamińska‐Winciorek

Śpiewak

2012

BMC Dermatol

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Dermoscopy is a useful, widely used tool for examining pigmented lesions, especially helpful in cases of an uncertain nature. Nevertheless, doctors may experience diagnostic difficulties while using this method. An example of this may be found in the examination of subcorneal hematoma, dark nevi with black lamella or lesions of acral volar skin. In such cases, a few diagnostic tricks have proven to be helpful in achieving diagnostic accuracy.This paper reviews various methods of performing dermoscopy, suggesting a number of simple, yet helpful tests. These include the adhesive tape test, the skin scraping test and the ink furrow test. The adhesive tape test is helpful in differentiating between dark melanocytic nevi and melanoma. Hematoma may be more easily differentiated with the use of the so-called skin scraping test. The confirmation of benign and melanocytic lesions of acral volar skin, on the other hand, is more accurate when using the ink furrow test. These methods have been discussed here based upon a series of literature reviews, the authors’ own experience and, also, iconography.The present article describes novel methods used in dermoscopy, helping to bring about a faster, more accurate diagnostics of those lesions which have proven to be more difficult to recognize. Helpful tricks, such as have been known to professional literature, as well as the authors’ own experience (for instance, applying urea cream to hyperkeratotic lesions or using photographs of skin lesions taken with the aid of a mobile phone camera – all prior to surgery) will surely be considered beneficial to the practitioner, be it dermatologist or any other physician.

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“…[29][30][31] Nevertheless, Hussain et al warned of online-or teledermatoscopyonly courses because dynamic dermatoscopy examinations such as tape stripping can only be assessed in-person and would otherwise lead to less qualified dermatologists. [32][33][34] For this reason, we combined the online curriculum with supervision by a dermatoscopy specialist. Boespflug et al confirmed this concept based on improvement of the participants in pre-and posttest scores.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a dermatoscopy curriculum during residency at Augsburg University Hospital in Germany

Schuh

Schiele

Thamm

et al. 2023

J Deutsche Derma Gesell

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SummaryBackground and objectivesTo date, there is no structured program for dermatoscopy training during residency in Germany. Whether and how much dermatoscopy training is acquired is left to the initiative of each resident, although dermatoscopy is one of the core competencies of dermatological training and daily practice. The aim of the study was to establish a structured dermatoscopy curriculum during residency at the University Hospital Augsburg.Patients and methodsAn online platform with dermatoscopy modules was created, accessible regardless of time and place. Practical skills were acquired under the personal guidance of a dermatoscopy expert. Participants were tested on their level of knowledge before and after completing the modules. Test scores on management decisions and correct dermatoscopic diagnosis were analyzed.ResultsResults of 28 participants showed improvements in management decisions from pre‐ to posttest (74.0% vs. 89.4%) and in dermatoscopic accuracy (65.0% vs. 85.6%). Pre‐ vs. posttest differences in test score (7.05/10 vs. 8.94/10 points) and correct diagnosis were significant (p < 0.001).ConclusionsThe dermatoscopy curriculum increases the number of correct management decisions and dermatoscopy diagnoses. This will result in more skin cancers being detected, and fewer benign lesions being excised. The curriculum can be offered to other dermatology training centers and medical professionals.

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The Furrow Ink Test

Cited by 31 publications

References 10 publications

Diagnosis and Management of Acral Pigmented Lesions

Diagnosis and Management of Acral Pigmented Lesions

Tips and tricks in the dermoscopy of pigmented lesions

Implementation of a dermatoscopy curriculum during residency at Augsburg University Hospital in Germany

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