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Dermoscopy for the pediatric dermatologist part I: dermoscopy of pediatric infectious and inflammatory skin lesions and hair disorders.
Pediatr Dermatol. 2013 Mar-Apr; 30(2):163-71.PD

Abstract

The dermoscope allows physicians to examine the macroscopic and microscopic primary morphology of skin lesions, identify subtle clinical clues, confirm naked-eye clinical diagnoses, and monitor treatment progress while posing little threat to the young patient. This review summarizes important dermoscopic structures seen in infectious and inflammatory skin conditions and hair disorders in children. Scabies, pediculosis, phthiriasis, molluscum contagiosum, tinea nigra, and verrucae are well characterized dermoscopically by delta-shaped structures, ovoid-shaped nits, the crab louse, red corona, brown strands or spicules, and multiple densely packed papilla with a central black dot surrounded by a whitish halo, respectively. These dermoscopic structures will be discussed, focusing on the dermoscopic morphologies and dermoscopic sensitivity for diagnosis and its utility in monitoring treatment progress. Dermoscopy has also been shown to significantly improve the clinician's diagnostic and monitoring accuracy of inflammatory skin lesions such as psoriasis, which is characterized dermoscopically by uniformly distributed dotted blood vessels, and lichen planus, which is characterized by whitish lines on a purple to reddish background. Dermoscopy of the hair and scalp (trichoscopy) facilitates the differential diagnosis of hair diseases in children, including alopecia areata, trichotillomania, and tinea capitis. It can also assist in the diagnosis of multiple genetic hair shaft disorders, such as monilethrix, trichorrhexis invaginata, trichorrhexis nodosa, pili torti, and pili annulati.

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Authors+Show Affiliations

Haliasos EC
Memorial Sloan Kettering Cancer Center, Hauppauge, New York 11788, USA.
Kerner M
No affiliation info available
Jaimes-Lopez N
No affiliation info available
Rudnicka L
No affiliation info available
Zalaudek I
No affiliation info available
Malvehy J
No affiliation info available
Hofmann-Wellenhof R
No affiliation info available
Braun RP
No affiliation info available
Marghoob AA
No affiliation info available

MeSH

ChildDermatitisDermoscopyDiagnosis, DifferentialHair DiseasesHumansPhysiciansSkin Diseases, Infectious

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23405886

Citation

Haliasos, Elena C., et al. "Dermoscopy for the Pediatric Dermatologist Part I: Dermoscopy of Pediatric Infectious and Inflammatory Skin Lesions and Hair Disorders." Pediatric Dermatology, vol. 30, no. 2, 2013, pp. 163-71.
Haliasos EC, Kerner M, Jaimes-Lopez N, et al. Dermoscopy for the pediatric dermatologist part I: dermoscopy of pediatric infectious and inflammatory skin lesions and hair disorders. Pediatr Dermatol. 2013;30(2):163-71.
Haliasos, E. C., Kerner, M., Jaimes-Lopez, N., Rudnicka, L., Zalaudek, I., Malvehy, J., Hofmann-Wellenhof, R., Braun, R. P., & Marghoob, A. A. (2013). Dermoscopy for the pediatric dermatologist part I: dermoscopy of pediatric infectious and inflammatory skin lesions and hair disorders. Pediatric Dermatology, 30(2), 163-71. https://doi.org/10.1111/pde.12097
Haliasos EC, et al. Dermoscopy for the Pediatric Dermatologist Part I: Dermoscopy of Pediatric Infectious and Inflammatory Skin Lesions and Hair Disorders. Pediatr Dermatol. 2013 Mar-Apr;30(2):163-71. PubMed PMID: 23405886.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dermoscopy for the pediatric dermatologist part I: dermoscopy of pediatric infectious and inflammatory skin lesions and hair disorders. AU - Haliasos,Elena C, AU - Kerner,Miryam, AU - Jaimes-Lopez,Natalia, AU - Rudnicka,Lidia, AU - Zalaudek,Iris, AU - Malvehy,Josep, AU - Hofmann-Wellenhof,Rainer, AU - Braun,Ralph P, AU - Marghoob,Ashfaq A, Y1 - 2013/02/14/ PY - 2013/2/15/entrez PY - 2013/2/15/pubmed PY - 2013/9/7/medline SP - 163 EP - 71 JF - Pediatric dermatology JO - Pediatr Dermatol VL - 30 IS - 2 N2 - The dermoscope allows physicians to examine the macroscopic and microscopic primary morphology of skin lesions, identify subtle clinical clues, confirm naked-eye clinical diagnoses, and monitor treatment progress while posing little threat to the young patient. This review summarizes important dermoscopic structures seen in infectious and inflammatory skin conditions and hair disorders in children. Scabies, pediculosis, phthiriasis, molluscum contagiosum, tinea nigra, and verrucae are well characterized dermoscopically by delta-shaped structures, ovoid-shaped nits, the crab louse, red corona, brown strands or spicules, and multiple densely packed papilla with a central black dot surrounded by a whitish halo, respectively. These dermoscopic structures will be discussed, focusing on the dermoscopic morphologies and dermoscopic sensitivity for diagnosis and its utility in monitoring treatment progress. Dermoscopy has also been shown to significantly improve the clinician's diagnostic and monitoring accuracy of inflammatory skin lesions such as psoriasis, which is characterized dermoscopically by uniformly distributed dotted blood vessels, and lichen planus, which is characterized by whitish lines on a purple to reddish background. Dermoscopy of the hair and scalp (trichoscopy) facilitates the differential diagnosis of hair diseases in children, including alopecia areata, trichotillomania, and tinea capitis. It can also assist in the diagnosis of multiple genetic hair shaft disorders, such as monilethrix, trichorrhexis invaginata, trichorrhexis nodosa, pili torti, and pili annulati. SN - 1525-1470 UR - https://www.unboundmedicine.com/medline/citation/23405886/Dermoscopy_for_the_pediatric_dermatologist_part_I:_dermoscopy_of_pediatric_infectious_and_inflammatory_skin_lesions_and_hair_disorders_ L2 - https://doi.org/10.1111/pde.12097 DB - PRIME DP - Unbound Medicine ER -