Ultraviolet-induced fluorescent dermoscopy for biopsy site identification prior to dermatologic surgery: A retrospective study

Navarrete‐Dechent, Cristián; Pietkiewicz, Paweł; Dusza, Stephen W.; Andreani, Sebastian; Nehal, Kishwer S.; Rossi, Anthony; Córdova, Miguel; Lee, Erica H.; Chen, Chih-Shan J.; Abarzúa‐Araya, Álvaro; Uribe, Pablo; Castro, Juan; Droppelmann, Katherine; Cárdenas, Consuelo; Marghoob, Ashfaq A.

doi:10.1016/j.jaad.2023.05.089

Cited by 5 publications

(2 citation statements)

References 5 publications

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“…The darker areas observed in UVFD likely correspond to inflammation and angiogenesis within the scar tissue after a biopsy (hemoglobin absorbs UV light). Future studies are needed to determine the exact time frame when these UVFD features are still present in biopsied sites [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

Applications of Ultraviolet and Sub-ultraviolet Dermatoscopy in Neoplastic and Non-neoplastic Dermatoses: A Systematic Review

Pietkiewicz,

Navarrete-Dechent,

Togawa

et al. 2024

Dermatol Ther (Heidelb)

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Dermatoscopy is a non-invasive and cost-efficient imaging technique augmenting clinical examination in neoplastic and non-neoplastic dermatoses. Recently, novel dermatoscopic techniques based on principles of reflectance/absorption and excited fluorescence have been developed. However, comprehensive data on their applications are sparse, and terminology is inconsistent. In this systematic review, we addressed the principles of ultraviolet (UV) imaging and proposed categorization based on spectral characteristics and signal acquisition, as well as discussed documented and potential clinical applications, safety measures during examination, and limitations associated with reflectance and fluorescence dermatoscopy. A literature search was conducted in the PubMed medical database until 2 December 2023 according to PRISMA guidelines, and 28 papers fit the scope of this review, whereas additional relevant articles were included to provide broader context regarding the chosen terminology, chromophores described, safety of sub-UV/UV, and regulations for light-emitting devices. UV and sub-UV dermatoscopy, categorized into different methods on the basis of the emitted wavelength and signal acquisition process (reflectance versus fluorescence), augment conventional dermatoscopy by optimizing safety margins in melanoma, facilitating early detection of tumor recurrence, and enhancing visualization in non-neoplastic conditions, including pigmentation disorders, intertrigo, papulo-desquamative dermatoses, and beyond. The review highlights the limitations of these techniques, including difficulty in differentiating melanin from hemoglobin, challenges in evaluating uneven surfaces, and artifacts. Although UV dermatoscopy complements conventional dermatoscopy, clinicians should be aware of their peculiarities, artifacts, limitations, and safety concerns to optimize their diagnostic accuracy and ensure patient’s safety. Supplementary Information The online version contains supplementary material available at 10.1007/s13555-024-01104-4.

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Section: Methodsmentioning

confidence: 99%

Applications of Ultraviolet and Sub-ultraviolet Dermatoscopy in Neoplastic and Non-neoplastic Dermatoses: A Systematic Review

Pietkiewicz,

Navarrete-Dechent,

Togawa

et al. 2024

Dermatol Ther (Heidelb)

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“…3 The application of these novel dermatoscopes has been reported in some infectious diseases including Trichobacteriosis axillaris or scabies, 4,5 as well as in determining excision margins in malignant tumours. 6 Since keratin emits blue fluorescence in UV light, it enables visualization of the typical for this entity plaques, which can contribute to establishing the correct diagnosis. An application of Wood's light in TFFD has already been reported in a case by Durmaz et al 7 and revealed chalk-white fluorescence.…”

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confidence: 99%

Terra firma‐forme dermatosis displays bright blue plaques in Ultraviolet‐Induced Fluorescence Dermatoscopy

Korecka,

Słomiak‐Wąsik,

Dańczak‐Pazdrowska

et al. 2024

Aust J Dermatology

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Assessing field cancerization and actinic keratosis using ultraviolet-induced fluorescence dermatoscopy after the application of 5-aminolevulinic acid – An observational study

Korecka,

Polańska,

Dańczak-Pazdrowska

et al. 2024

Photodiagnosis and Photodynamic Therapy

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Ultraviolet-induced fluorescent dermoscopy for biopsy site identification prior to dermatologic surgery: A retrospective study

Cited by 5 publications

References 5 publications

Applications of Ultraviolet and Sub-ultraviolet Dermatoscopy in Neoplastic and Non-neoplastic Dermatoses: A Systematic Review

Applications of Ultraviolet and Sub-ultraviolet Dermatoscopy in Neoplastic and Non-neoplastic Dermatoses: A Systematic Review

Terra firma‐forme dermatosis displays bright blue plaques in Ultraviolet‐Induced Fluorescence Dermatoscopy

Assessing field cancerization and actinic keratosis using ultraviolet-induced fluorescence dermatoscopy after the application of 5-aminolevulinic acid – An observational study

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