Use of Dermoscopy to Visualize Punctate Hemorrhages and Onycholysis in “Playstation Thumb”

Discolored Fingertip and Dysesthesia of the Fingers in a 9‐year‐old Girl

“…Similar cases of purpura of the fingers and thumbs associated with the use of handheld gaming consoles, given the label “playstation purpura,” have been reported in adults accustomed to playing computer games for many hours per day . The distinctive clinical features are sharply demarcated red‐brown macular pigmentation on the acral skin of the fingers and hands with pinpoint red globules and a parallel ridge pattern of pigmentation on dermoscopic examination, a finding also seen in association with acral lentiginous melanoma.…”

New-Onset Solitary Black Lesion on the Heel

“…They are commonly found on the heels of young athletes, particularly in basketball and tennis players, but may develop on the heels of adults with a history of unusual foot trauma (Bolognia et al, 2014). Dermoscopy often shows homogenous purple–red hue of grouped globular or punctate hemorrhages commonly arranged in a linear pattern (Bakos & Bakos, 2006). A No.…”

Playstation thumb

“…Although this condition seems to be quite common, particularly among children, a PubMed search using the word “Playstation thumb” yielded only four publications (a second letter by the same 13‐year‐old girl and a paper on dermoscopy of the condition).…”