Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study
Introduction: Poikiloderma of Civatte (PC) is a common, acquired, chronic, benign poikiloderma of the neck and face, most commonly affecting menopausal females. Until the day of writing, few have been published regarding dermoscopy of PC. Objective: To describe the dermoscopic picture of PC, so...
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| Format: | Article |
| Language: | English |
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Mattioli1885
2023-01-01
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| Series: | Dermatology Practical & Conceptual |
| Subjects: | |
| Online Access: | https://dpcj.org/index.php/dpc/article/view/2311 |
| _version_ | 1828045354398908416 |
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| author | Alexander Katoulis Dimitrios Sgouros Evangelia Bozi Georgia Pappa Sofia Theotokoglou Marie Pauline Konstantinou Alexandra Voudouri Maria Voudouri Melpomeni Theofili Korina Tzima Rainer Hofmann-Wellenhof |
| author_facet | Alexander Katoulis Dimitrios Sgouros Evangelia Bozi Georgia Pappa Sofia Theotokoglou Marie Pauline Konstantinou Alexandra Voudouri Maria Voudouri Melpomeni Theofili Korina Tzima Rainer Hofmann-Wellenhof |
| author_sort | Alexander Katoulis |
| collection | DOAJ |
| description |
Introduction: Poikiloderma of Civatte (PC) is a common, acquired, chronic, benign poikiloderma of the neck and face, most commonly affecting menopausal females. Until the day of writing, few have been published regarding dermoscopy of PC.
Objective: To describe the dermoscopic picture of PC, so as to provide a clinico-dermoscopic diagnosis and differential diagnosis for PC.
Methods: Twenty-eight patients with PC, aged 26-73 years, of whom 19 females (67.86%) were evaluated by detailed history, clinical examination, and dermoscopic examination with hand-held dermatoscope.
Results: The reticular pattern was observed in 15 cases (53.6%); the white dot in 10 (35.7%); the non-specific in 9 (32.1%); and the spaghetti and meatballs-like in 8 (28.6%). Regarding local dermoscopic features, flying seagull-like vessels were observed in 18 cases (64.3%); linear irregular vessels in 17 (60.7%); rhomboidal/polygonal vessels in 15 (53.6%); dotted/globular vessels in 10 (35.7%); white macules in 23 (82.1%); brown macules in 11 (39.3%); and whitish follicular plugs in 6 (21.4%).
Conclusions: The dermoscopic picture of PC is highly characteristic and corresponds well to both clinical and histological findings. Dermoscopy may assist clinical diagnosis, as well as the differentiation from other dermatoses of the neck and face, especially poikilodermas with guarded prognosis.
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| first_indexed | 2024-04-10T18:10:29Z |
| format | Article |
| id | doaj.art-7fc1dfb810474421ba50eefb14ecf588 |
| institution | Directory Open Access Journal |
| issn | 2160-9381 |
| language | English |
| last_indexed | 2024-04-10T18:10:29Z |
| publishDate | 2023-01-01 |
| publisher | Mattioli1885 |
| record_format | Article |
| series | Dermatology Practical & Conceptual |
| spelling | doaj.art-7fc1dfb810474421ba50eefb14ecf5882023-02-02T11:16:03ZengMattioli1885Dermatology Practical & Conceptual2160-93812023-01-0113110.5826/dpc.1301a7Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort StudyAlexander Katoulis0Dimitrios Sgouros1Evangelia Bozi2Georgia Pappa3Sofia Theotokoglou4Marie Pauline Konstantinou5Alexandra Voudouri6Maria Voudouri7Melpomeni Theofili8Korina Tzima9Rainer Hofmann-Wellenhof102nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.2nd Department of Dermatology and Venereology, National and Kapodistrian University of Athens, Medical School, “Attikon” General University Hospital, Athens, Greece.Department of Dermatology, Medical University of Graz, Graz, Austria Introduction: Poikiloderma of Civatte (PC) is a common, acquired, chronic, benign poikiloderma of the neck and face, most commonly affecting menopausal females. Until the day of writing, few have been published regarding dermoscopy of PC. Objective: To describe the dermoscopic picture of PC, so as to provide a clinico-dermoscopic diagnosis and differential diagnosis for PC. Methods: Twenty-eight patients with PC, aged 26-73 years, of whom 19 females (67.86%) were evaluated by detailed history, clinical examination, and dermoscopic examination with hand-held dermatoscope. Results: The reticular pattern was observed in 15 cases (53.6%); the white dot in 10 (35.7%); the non-specific in 9 (32.1%); and the spaghetti and meatballs-like in 8 (28.6%). Regarding local dermoscopic features, flying seagull-like vessels were observed in 18 cases (64.3%); linear irregular vessels in 17 (60.7%); rhomboidal/polygonal vessels in 15 (53.6%); dotted/globular vessels in 10 (35.7%); white macules in 23 (82.1%); brown macules in 11 (39.3%); and whitish follicular plugs in 6 (21.4%). Conclusions: The dermoscopic picture of PC is highly characteristic and corresponds well to both clinical and histological findings. Dermoscopy may assist clinical diagnosis, as well as the differentiation from other dermatoses of the neck and face, especially poikilodermas with guarded prognosis. https://dpcj.org/index.php/dpc/article/view/2311poikilodermadermoscopyepidemiologydiagnosisdifferential diagnosis |
| spellingShingle | Alexander Katoulis Dimitrios Sgouros Evangelia Bozi Georgia Pappa Sofia Theotokoglou Marie Pauline Konstantinou Alexandra Voudouri Maria Voudouri Melpomeni Theofili Korina Tzima Rainer Hofmann-Wellenhof Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study Dermatology Practical & Conceptual poikiloderma dermoscopy epidemiology diagnosis differential diagnosis |
| title | Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study |
| title_full | Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study |
| title_fullStr | Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study |
| title_full_unstemmed | Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study |
| title_short | Diagnosis and differential diagnosis of Poikiloderma of Civatte: a Dermoscopy Cohort Study |
| title_sort | diagnosis and differential diagnosis of poikiloderma of civatte a dermoscopy cohort study |
| topic | poikiloderma dermoscopy epidemiology diagnosis differential diagnosis |
| url | https://dpcj.org/index.php/dpc/article/view/2311 |
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