Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity
Introduction: Lupus Vulgaris (LV) is the chronic, progressive, tissue destructive form of cutaneous tuberculosis. LV should be diagnosed and treated to prevent scaring and deformities. Histopathology is the gold standard for the diagnosis. Dermoscopy is helpful tool in diagnosing different dermatolo...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
| Series: | Indian Dermatology Online Journal |
| Subjects: | |
| Online Access: | http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=6;spage=948;epage=952;aulast=Ankad |
| _version_ | 1818658591186354176 |
|---|---|
| author | Balachandra S Ankad Keshavmurthy A Adya Sakshi S Gaikwad Arun C Inamadar R Manjula |
| author_facet | Balachandra S Ankad Keshavmurthy A Adya Sakshi S Gaikwad Arun C Inamadar R Manjula |
| author_sort | Balachandra S Ankad |
| collection | DOAJ |
| description | Introduction: Lupus Vulgaris (LV) is the chronic, progressive, tissue destructive form of cutaneous tuberculosis. LV should be diagnosed and treated to prevent scaring and deformities. Histopathology is the gold standard for the diagnosis. Dermoscopy is helpful tool in diagnosing different dermatological condition. Here, dermoscopic and histopathogical correlation in LV was attempted. Materials and Methods: It was a cross sectional, observational study done from February 2019 to October 2019. Nineteen patients of LV were included. Dermlite 4 with attached smart phone (iphone) was employed. LV lesions were subjected to skin biopsy to confirm the diagnosis. Results: Study enrolled 19 patients, with 8males, 5 female and 6 children. Dermoscopy showed yellowish-white globules, white structureless areas and white scales were noted in 19 (100%) patients. Telangiectasias were seen in 16 (84.21%) patients as long linear, branching and short linear vessels. Pinkish-red background was noted in all patients (100% n=19). Newer observations included white shiny streaks, white rosettes and bluish hue. Age, sex, duration of lesions had no influence in the dermoscopic patterns. Discrepancy in dermoscopic-histopathologic correlation was noted. Facial lesions showed increased frequency of follicular plugs, patulous follicles and white rosettes. Conclusion: Dermoscopy is widely gaining importance in the realm of dermatology. In this study, dermoscopy demonstrated characteristic patterns in LV. Thus, dermoscopy a non-invasive procedure can be used as diagnostic tool in many infective dermatoses. |
| first_indexed | 2024-12-17T03:59:48Z |
| format | Article |
| id | doaj.art-d4ce6a4c544c41a387cca2825fc15a00 |
| institution | Directory Open Access Journal |
| issn | 2229-5178 |
| language | English |
| last_indexed | 2024-12-17T03:59:48Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Dermatology Online Journal |
| spelling | doaj.art-d4ce6a4c544c41a387cca2825fc15a002022-12-21T22:04:32ZengWolters Kluwer Medknow PublicationsIndian Dermatology Online Journal2229-51782020-01-0111694895210.4103/idoj.IDOJ_100_20Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruityBalachandra S AnkadKeshavmurthy A AdyaSakshi S GaikwadArun C InamadarR ManjulaIntroduction: Lupus Vulgaris (LV) is the chronic, progressive, tissue destructive form of cutaneous tuberculosis. LV should be diagnosed and treated to prevent scaring and deformities. Histopathology is the gold standard for the diagnosis. Dermoscopy is helpful tool in diagnosing different dermatological condition. Here, dermoscopic and histopathogical correlation in LV was attempted. Materials and Methods: It was a cross sectional, observational study done from February 2019 to October 2019. Nineteen patients of LV were included. Dermlite 4 with attached smart phone (iphone) was employed. LV lesions were subjected to skin biopsy to confirm the diagnosis. Results: Study enrolled 19 patients, with 8males, 5 female and 6 children. Dermoscopy showed yellowish-white globules, white structureless areas and white scales were noted in 19 (100%) patients. Telangiectasias were seen in 16 (84.21%) patients as long linear, branching and short linear vessels. Pinkish-red background was noted in all patients (100% n=19). Newer observations included white shiny streaks, white rosettes and bluish hue. Age, sex, duration of lesions had no influence in the dermoscopic patterns. Discrepancy in dermoscopic-histopathologic correlation was noted. Facial lesions showed increased frequency of follicular plugs, patulous follicles and white rosettes. Conclusion: Dermoscopy is widely gaining importance in the realm of dermatology. In this study, dermoscopy demonstrated characteristic patterns in LV. Thus, dermoscopy a non-invasive procedure can be used as diagnostic tool in many infective dermatoses.http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=6;spage=948;epage=952;aulast=Ankaddermoscopydiagnosishistopathologylupus vulgarispatterns |
| spellingShingle | Balachandra S Ankad Keshavmurthy A Adya Sakshi S Gaikwad Arun C Inamadar R Manjula Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity Indian Dermatology Online Journal dermoscopy diagnosis histopathology lupus vulgaris patterns |
| title | Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity |
| title_full | Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity |
| title_fullStr | Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity |
| title_full_unstemmed | Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity |
| title_short | Lupus vulgaris in darker skin: Dermoscopic and histopathologic incongruity |
| title_sort | lupus vulgaris in darker skin dermoscopic and histopathologic incongruity |
| topic | dermoscopy diagnosis histopathology lupus vulgaris patterns |
| url | http://www.idoj.in/article.asp?issn=2229-5178;year=2020;volume=11;issue=6;spage=948;epage=952;aulast=Ankad |
| work_keys_str_mv | AT balachandrasankad lupusvulgarisindarkerskindermoscopicandhistopathologicincongruity AT keshavmurthyaadya lupusvulgarisindarkerskindermoscopicandhistopathologicincongruity AT sakshisgaikwad lupusvulgarisindarkerskindermoscopicandhistopathologicincongruity AT aruncinamadar lupusvulgarisindarkerskindermoscopicandhistopathologicincongruity AT rmanjula lupusvulgarisindarkerskindermoscopicandhistopathologicincongruity |