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ORIGINAL ARTICLE
Shekhar Neema, Manas Chatterjee

Dermoscopic Characteristics of Melasma in Indians: A Cross-Sectional Study

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:6-10][No of Hits : 1295]


ABSTRACT

Introduction: The aim of this study was to assess the various dermoscopic features of melasma in Indian population.

Materials and methods: A total of 100 cases of clinically diagnosed melasma and 50 controls without melasma or any other facial pigmentation were studied dermoscopically at a tertiary care center in Eastern India. The various described relevant patterns of pigmentation on dermoscopy were recorded. Similar patterns were also looked for in the control population and the two compared. Statistical analysis was done with Fisher’s exact test and a p-value of <0.05 was considered statistically significant.

Results: Cases consisted of 75 females and 25 males with an average age of 36 years as against an average age of 35 years for controls. Of the various patterns of pigmentation, reticuloglobular pigmentation was statistically significant in association with melasma (p < 0.0001). The unpatterned patchy brown black pigment was also significantly associated with melasma as compared to controls (p - 0.0346). A granular pigmentary pattern was also shown to be significantly associated with a diagnosis of melasma (p - 0.0123). Telangiectasia was seen more frequently in patients as compared to controls (p - 0.0327). Perifollicular brown black globules were not significantly correlated with a diagnosis of melasma. More than one pattern was present in a number of patients.

Conclusion: Dermoscopy of melasma can be used for diagnosis, prognosis, and response or adverse effect of therapy. Study limitations: Lack of direct correlation with histopathology and inclusion of therapy naïve as well as patients on therapy were major limitations of this study.

Keywords: Dermoscopy, India, Melasma.

How to cite this article: Neema S, Chatterjee M. Dermoscopic Characteristics of Melasma in Indians: A Cross-sectional Study. Int J Dermoscop 2017;1(1):6-10.

Source of support: Nil

Conflict of interest: None


 
DERMOSCOPIC GEM
Chander Grover, Deepak Jakhar

Dermoscopy in the Diagnosis of Scabies

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:67-68][No of Hits : 1295]


ABSTRACT

Scabies is one of the most common skin infestations and the diagnosis is mostly based on clinical presentation and suggestive history. A confirmatory diagnosis is highly desirable as the treatment requires strict compliance from the patient as well as close contacts. Existing diagnostic methods are time consuming and not very sensitive. This article describes the use of dermoscopy to facilitate the in-vivo diagnosis of this infestation.

Keywords: Dermoscopy, Scabies, Entomodermoscopy.

How to cite this article: Grover C, Jakhar D. Dermoscopy in the Diagnosis of Scabies. Int J Dermoscop 2017;1(2):67-68.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Bhabani Singh, Bikash Ranjan Kar

Dermoscopic Approach to Nonscarring Alopecia

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:1-5][No of Hits : 991]


ABSTRACT

Alopecia, though considered a cosmetic disease, can profoundly affect the quality of life of a patient. Clinical diagnosis of alopecia can be difficult and may need invasive procedures, such as biopsy. Dermoscopy is an easy and patient friendly alternative which is useful in diagnosing different causes of alopecia. This article discusses the dermoscopic approach to various types of nonscarring alopecia, such as alopecia areata, androgenetic alopecia, trichotillomania, and telogen effluvium.

Keywords: Alopecia areata, Dermoscopy, Telogen effluvium, Tinea capitis, Trichotillomania.

How to cite this article: Singh B, Kar BR. Dermoscopic Approach to Nonscarring Alopecia. Int J Dermoscop 2017; 1(1):1-5.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Dipali Rathod, Meena Bhaskar Makhecha, Manas Chatterjee, Tishya Singh, Shekhar Neema

A Cross-Sectional Descriptive Study of Dermoscopy in Various Nail Diseases at a Tertiary Care Center

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:11-19][No of Hits : 887]


ABSTRACT

Introduction: Nail diseases may often possess a challenge for the treating dermatologist, as they may primarily be affected without any skin involvement and sometimes may present with subtle changes which can be easily missed by the naked eye. The macroscopic nail changes can be assessed very well with a naked eye, however, the important minutiae may be assessed with a dermoscope.

Aim: To study the characteristic dermoscopic findings in various nail diseases.

Materials and methods: A total of 250 patients (males-130, females-120) with clinically evident nail diseases were enrolled in this cross-sectional descriptive study. After a thorough clinical examination, patients were subjected to dermoscopic examination of all 20 nails. Chi-square test or Fisher’s exact test (in a very few patients of nail diseases) were used for statistical analysis, with a significance threshold of p < 0.05.

Results: Nail psoriasis (n = 45) was the commonest nail disease found in which the most common dermoscopic feature was circular punctate depressions (64.5%). Onychomycosis (n = 40) was the next common disease in which yellowish discoloration (100%) was commonly seen in all patients and rough scaly surface (100%) in the total dystrophic type. In pitted keratolysis (n = 19) transverse brown bands (57.9%) were most commonly seen as was the case in eczemas. Lichen planus (n = 14) was associated with longitudinal fissuring (64.3%) most commonly. Trachyonychia (n = 5) was associated with longitudinal fissuring (100%) in all cases. The most common dermoscopic feature of alopecia areata (n = 4) was circular punctate depressions (75%). Systemic scleroderma (n = 4) typically showed giant capillaries (75%) as the most common feature.

Conclusion: A meticulous search with the dermoscope, furnishes minuscule details of the nail unit that can be diagnostic of several nail diseases at an early stage before dystrophy sets in. However, further studies are required to validate these findings. Clinical significance: Dermoscopy is a noninvasive complementary tool which aids in diagnosis of nail diseases more quickly and can also be used for monitoring the evolution, therapeutic response, and prognosis of these diseases.

Keywords: Alopecia areata, Lichen planus, Melanonychia, Nail dermoscopy, Nail psoriasis, Onychomycosis, Pitted keratolysis, Scleroderma, Trachyonychia.

How to cite this article: Rathod D, Makhecha MB, Chatterjee M, Singh T, Neema S. A Cross-sectional Descriptive Study of Dermoscopy in various Nail Diseases at a Tertiary Care Center. Int J Dermoscop 2017;1(1):11-19.

Source of support: Nil

Conflict of interest: None


 
REVIEW ARTICLE
Archana Singal, Deepak Jakhar

Onychoscopy: An Overview

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:41-49][No of Hits : 570]


ABSTRACT

Onychoscopy is the examination of nail and its components with the help of a dermatoscope. It is a noninvasive, painless, cost-effective, and reproducible office procedure. The enhanced and in vivo magnified visualization offered by onychoscopy helps us to identify various features not seen on naked eye examination. So onychoscopy serves as an interface between histological and clinical examination.

Keywords: Dermatoscopy, Dermoscopy, Nailfold capillaroscopy, Onychoscopy.

How to cite this article: Singal A, Jakhar D. Onychoscopy: An Overview. Int J Dermoscop 2017;1(2):41-49.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Ankit H Bharti, Uday S Khopkar

Dermoscopy of Poikilodermatous Mycosis Fungoides in Pigmented Skin

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:28-31][No of Hits : 569]


ABSTRACT

Mycosis fungoides (MF) is one of the most common primary cutaneous T-cell lymphoma, whose early stages, especially patch stage poses a diagnostic challenge, as it presents quite similarly to other inflammatory skin diseases and chronic dermatoses. We present a case of a 31-year-old young male presented to us with complaints of generalized hyperpigmentation associated with mild itching since 4 years. On examination, generalized well-demarcated hyperpigmented poikilodermatous patches with focal atrophy were noted. The poikiloderma was more pronounced over the arms and legs. Dermoscopy of these patches displayed multiple well-demarcated irregular accentuation of pigment network with criss-cross white streaked (loss of pigment network) zones with microscaling, telangiectasia (reddish smudges), and black dots. Histopathology showed interface dermatitis, epidermotropism of atypical lymphocytes, and tagging of lymphocytes along the basement membrane and Pautrier’s micro- abscesses. These findings confirmed the diagnosis of poikilodermatous MF. This is the first report of findings of Poikilodermatous MF in pigmented skin. Thus, dermoscopy being a non-invasive tool with specific characteristics, may assume an supplementary role in the diagnosis of poikilodermatous MF.

Keywords: Dermoscopy, Mycosis fungoides, Poikilodermatous mycosis fungoides.

How to cite this article: Bharti AH, Khopkar US. Dermoscopy of Poikilodermatous Mycosis Fungoides in Pigmented Skin. Int J Dermoscop 2017;1(1):28-31.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
C Madura, Neelima Ravipati, BS Chandrashekar

Clinical and Trichoscopic Correlation of Scalp in Patients who had Undergone Hair Transplantation

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:20-25][No of Hits : 555]


ABSTRACT

Hair transplantation and dermatoscopy are two growing fields in dermatology. We present clinical and dermascopic evaluation of patients who had undergone hair transplantation in our institute and also in patients who sought for correction for already performed hair transplantation for various reasons. Scalp examination of donor and recipient zones was done using hand held dermatoscope and assessed for aesthetic outcome and complications if any in these zones. The trichoscopic examination helps dermatologist to look into the tiny intricacies and also to correlate these with clinical examination, which helps the hair transplant surgeon to understand the technical mistakes and correct the defects for perfection. From these observations we can conclude that dermascope is an important pocket tool for hair transplant surgeons.

Keywords: Donor-recipient area, Hair transplantation, Trichoscopy.

How to cite this article: Madura C, Ravipati N, Chandrashekar BS. Clinical and Trichoscopic Correlation of Scalp in Patients Who had undergone Hair Transplantation. Int J Dermoscop 2017;1(1):20-25.

Source of support: Nil

Conflict of interest: None


 
LETTERS TO EDITOR
Subrata Malakar, Purva Mehta

Ring Scales: A New Dermoscopic Sign in Polymorphous Light Eruption

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:62-64][No of Hits : 527]


ABSTRACT

Dermoscopy is the newest noninvasive diagnostic tool in clinical practice today. Here, we highlight a new dermoscopic sign in polymorphous light eruption that has varied clinical presentations.

How to cite this article: Malakar S, Mehta P. Ring Scales: A New Dermoscopic Sign in Polymorphous Light Eruption. Int J Dermoscop 2017;1(2):62-64.

Source of support: Nil

Conflict of interest: None


 
LETTERS TO EDITOR
Balakrishnan Nirmal

Checklist for Nailfold Capillaroscopy Findings in Systemic Sclerosis: ABCDEGH

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:54-55][No of Hits : 526]


ABSTRACT

Nailfold capillaroscopy (NFC) is a noninvasive diagnostic technique for the evaluation of microcirculation in the proximal nailfold (PNF). A primitive instrument for magnifying was used to perform NFC in the 17th century. Research in the 19th century starting with that of Maurice Raynaud established correlation between NFC abnormalities and disease conditions.

How to cite this article: Nirmal B. Checklist for Nailfold Capillaroscopy Findings in Systemic Sclerosis: ABCDEGH. Int J Dermoscop 2017;1(2):54-55.

Source of support: Nil

Conflict of interest: None


 
LETTERS TO EDITOR
Shilpi A Agarwal, Rachita S Dhurat, Sandip Agarwal, Aseem Sharma, Smita Ghate

Dermoscopy of Rare Pigmented Variant of Bowen’s Disease

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:56-59][No of Hits : 456]


ABSTRACT

Bowen’s disease (BD) is a form of squamous cell carcinoma in situ, which was described by John T Bowen in 1912.1 It usually presents as an asymptomatic, slowly growing erythematous scaly patch or plaque with welldemarcated irregular border.2 It may be pigmented or nonpigmented. The most common sites affected include the head and neck followed by the extremities.3

How to cite this article: Agarwal SA, Dhurat RS, Agarwal S, Sharma A, Ghate S. Dermoscopy of Rare Pigmented Variant of Bowen’s Disease. Int J Dermoscop 2017;1(2):56-59.

Source of support: Nil

Conflict of interest: None


 
TRICHOSCOPIC GEM
Purva Mehta, Subrata Malakar

Trichoscope as a Monitoring Tool for Therapeutic Efficacy in Lichen Planopilaris

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:38-39][No of Hits : 405]


ABSTRACT

A 50-year-old female presented to us with multiple areas of scarring alopecia related to scalp itching. She was diagnosed as a case of lichen planopilaris (LPP) (Figs 1A to C).

How to cite this article: Mehta P, Malakar S. Trichoscope as a Monitoring Tool for Therapeutic Efficacy in Lichen Planopilaris. Int J Dermoscop 2017;1(1):38-39.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Tejas Vishwanath, Sandip Agrawal, Deepti Shukla, Rachita Dhurat, Aseem Sharma, Smita Ghate

Utility of Dermoscopy in Diagnosing Reticular Variant of Lichen Planus Pigmentosus

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:32-34][No of Hits : 381]


ABSTRACT

Lichen planus pigmentosus (LPP) is a fairly common benign pigmentary disorder in India. This disease was first described in India in 1974. The four main patterns of pigmentation delineated in this disease include diffuse, reticular, blotchy, and perifollicular.
We present a case of the rare reticular variant of LPP with its dermoscopic features.

Keywords: Lichen planus pigmentosus, Pigmentation, Reticular variant.

How to cite this article: Vishwanath T, Agrawal S, Shukla D, Dhurat R, Sharma A, Ghate S. Utility of Dermoscopy in Diagnosing Reticular Variant of Lichen Planus Pigmentosus. Int J Dermoscop 2017;1(1):32-34.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Deepti Shukla, Tejas Vishwanath, Sandip Agrawal, Rachita Dhurat, Aseem Sharma

A Case of Alopecia Areata Mimicking Trichotillomania

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:35-37][No of Hits : 353]


ABSTRACT

Alopecia areata (AA) is a common dermatological disease characterized by patchy areas of nonscarring alopecia. Sometimes, differentiating patchy AA from trichotillomania (TTM) can be difficult. We report a case of AA mimicking TTM.

Keywords: Alopecia areata, Trichotillomania, Tulip hair.

How to cite this article: Shukla D, Vishwanath T, Agrawal S, Dhurat R, Sharma A. A Case of Alopecia Areata Mimicking Trichotillomania. Int J Dermoscop 2017;1(1):35-37.

Source of support: Nil

Conflict of interest: None


 
CASE REPORT
Samipa S Mukherjee, BS Chandrashekar

“Cluster of Stars” Appearance: A New Scalp Dermoscopic Finding

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:26-27][No of Hits : 350]


ABSTRACT

Atrichia with papular lesions is a rare genodermatoses often clinically confused with alopecia areata and other forms of total and partial alopecias. Clinical findings along with demonstration of keratinous cysts on histopathology remains the mainstay of diagnosis. We herein report a novel dermoscopic finding observed in cases of atrichia with papular lesions which to the best of our knowledge has not been described so far.

Keywords: Atrichia with papular eruption, Dermoscopy, Cluste of star appearance

How to cite this article: Mukherjee SS, Chandrashekar BS. “Cluster of Stars” Appearance: A New Scalp Dermoscopic Finding. Int J Dermoscop 2017;1(1):26-27.

Source of support: Nil

Conflict of interest: None


 
LETTERS TO EDITOR
Balachandra S Ankad, Savitha L Beergouder

Nodular Lesions on Legs: A Dermoscopic Surprise

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:60-61][No of Hits : 336]


ABSTRACT

Dermoscopy helps to see structures and features invisible to the naked eye, providing additional morphologic information during clinical examination of skin lesion. It is rightly called as dermatologist stethoscope.

How to cite this article: Ankad BS, Beergouder SL. Nodular Lesions on Legs: A Dermoscopic Surprise. Int J Dermoscop 2017;1(2):60-61.

Source of support: Nil

Conflict of interest: None


 
ORIGINAL ARTICLE
Pavan Raj, C Madura, BS Chandrashekar

Noninvasive Assessment of Donor Area in Patients with Androgenetic Alopecia undergoing Hair Transplantation by Digital Imaging Technique

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:50-53][No of Hits : 326]


ABSTRACT

Trichoscopic digital imaging is one of the safe, accurate and non invasive method of assessment of donor area for pre transplant evaluation that aids in further plan of action. Our study aimed to calculate the hair density, hair follicular unit density, grouping of hair, average hair per unit, total number hair follicles and follicular units in the safe donor zone. Thorough donor area assessment prior to the hair transplantation is very important to assess the yield of grafts and over all treatment outcome. It is useful in planning the utilization of the grafts for present and future surgeries depending on patient’s age and progression of baldness

Keywords: Androgenetic alopecia, Digital imaging technique, Hair transplantation, Safe donor zone.

How to cite this article: Raj P, Madura C, Chandrashekar BS. Noninvasive Assessment of Donor Area in Patients with Androgenetic Alopecia undergoing Hair Transplantation by Digital Imaging Technique. Int J Dermoscop 2017;1(2):50-53.

Source of support: Nil

Conflict of interest: None


 
TRICHOSCOPIC PEARL
Balachandra S Ankad, Swapnil Shah, Anirudh A Mallapur

Nevoid Trichostasis Spinulosa: Dermoscopic Point of View

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:65-66][No of Hits : 295]


ABSTRACT

Trichostasis spinulosa (TS) is a common yet underdignosed condition affecting hair follicles. Diagnosis is based on the clinical features, hair mount, and dermoscopy. Here, the authors describe a case of TS in a nevoid distribution wherein dermoscopy aided the diagnosis.

Keywords: Dermoscopy, Nevoid trichostasis spinulosa, Tufted hair.

How to cite this article: Ankad BS, Shah S, Mallapur AA. Nevoid Trichostasis Spinulosa: Dermoscopic Point of View. Int J Dermoscop 2017;1(2):65-66.

Source of support: Nil

Conflict of interest: None


 
Editorial
Samipa S Mukherjee, Subrata Malakar

Editorial

[Year:2017] [Month:September-December] [Volumn:1 ] [Number:2] [Pages:27] [Pages No:iv-vi][No of Hits : 294]


ABSTRACT

Dermatoscopy saw its first uses in the diagnosis and detection of pigmented lesions during the first half of the 20th century.1 Dermatoscopy is known by many other synonyms like epiluminescence light microscopy, dermoscopy, incident light microscopy, and surface microscopy. However, the most commonly used term “dermoscopy” was proposed by Friedman et al.2 The devices used for the same have undergone phenomenal modification from the larger devices without storage capacity for images to sleek handheld devices with attachments for storage capacity.


 
Editorial
Subarata Malakar, Samipa S Mukherjee

The inception and the need....

[Year:2017] [Month:May-August] [Volumn:1 ] [Number:1] [Pages:39] [Pages No:iv][No of Hits : 206]


ABSTRACT

The most apt question for a new journal to be introduced as a subject is probably “Why a Journal for Dermatoscopy?” As known by all, the literal meaning of a journal is a regular dealing with matters of current interest related to a particular or specified group which leads to enhanced knowledge and improvised skills in the particular subject of interest.



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