Dermoscopy of Juvenile Xanthogranuloma.


Journal

Dermatology (Basel, Switzerland)
ISSN: 1421-9832
Titre abrégé: Dermatology
Pays: Switzerland
ID NLM: 9203244

Informations de publication

Date de publication:
2021
Historique:
received: 03 06 2020
accepted: 16 07 2020
pubmed: 20 10 2020
medline: 16 2 2022
entrez: 19 10 2020
Statut: ppublish

Résumé

Dermoscopy is useful for the evaluation of juvenile xanthogranuloma (JXG). The classical "setting sun" pattern is characteristic of JXG, but its sensibility appears to be limited. An extensive description of other dermoscopic findings is not available in the literature. The aim of this study was to valuate and describe the clinical and dermoscopic characteristics of a series of JXG cases. This is a retrospective descriptive study, including cases with histopathologic diagnosis of JXG, and the availability of clinical and dermoscopic images, assessed for the presence of dermoscopic features based on the available literature. A total of 17 lesions were analyzed. 70.6% showed global symmetry, 35.3% presented the typical "setting sun" pattern. All lesions showed yellow-orange and/or pink-red structureless color. Other dermoscopic features were yellow globules (35.3%), shiny white streaks (23.5%), brown globules (17.6%), pale-brown network (11.8%), negative network (11.8%), erosion/ulceration (11.8%), rosettes (5.9%), and hemorrhage (5.9%). Scales were seen in 64.7% of patients. Vascular structures were observed in all the lesions, mostly in an irregular distribution (76.5%). The observed vessel types were dotted (52.9%), linear (52.9%), branching-arboriform (29.4%), comma-like (23.5%), hairpin-like (17.6%), globular (17.6%), coiled (11.8%), and milky-red globules (5.9%). Symmetry, yellow/orange-pink/red color, yellow globules, shiny white streaks, and irregularly distributed different types of vascular structures are the main dermoscopic features of JXG. This is the largest dermoscopic registry of JXG published to date.

Sections du résumé

BACKGROUND BACKGROUND
Dermoscopy is useful for the evaluation of juvenile xanthogranuloma (JXG). The classical "setting sun" pattern is characteristic of JXG, but its sensibility appears to be limited. An extensive description of other dermoscopic findings is not available in the literature.
OBJECTIVES OBJECTIVE
The aim of this study was to valuate and describe the clinical and dermoscopic characteristics of a series of JXG cases.
METHODS METHODS
This is a retrospective descriptive study, including cases with histopathologic diagnosis of JXG, and the availability of clinical and dermoscopic images, assessed for the presence of dermoscopic features based on the available literature.
RESULTS RESULTS
A total of 17 lesions were analyzed. 70.6% showed global symmetry, 35.3% presented the typical "setting sun" pattern. All lesions showed yellow-orange and/or pink-red structureless color. Other dermoscopic features were yellow globules (35.3%), shiny white streaks (23.5%), brown globules (17.6%), pale-brown network (11.8%), negative network (11.8%), erosion/ulceration (11.8%), rosettes (5.9%), and hemorrhage (5.9%). Scales were seen in 64.7% of patients. Vascular structures were observed in all the lesions, mostly in an irregular distribution (76.5%). The observed vessel types were dotted (52.9%), linear (52.9%), branching-arboriform (29.4%), comma-like (23.5%), hairpin-like (17.6%), globular (17.6%), coiled (11.8%), and milky-red globules (5.9%).
CONCLUSIONS CONCLUSIONS
Symmetry, yellow/orange-pink/red color, yellow globules, shiny white streaks, and irregularly distributed different types of vascular structures are the main dermoscopic features of JXG. This is the largest dermoscopic registry of JXG published to date.

Identifiants

pubmed: 33075787
pii: 000510265
doi: 10.1159/000510265
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

946-951

Informations de copyright

© 2020 S. Karger AG, Basel.

Auteurs

Leonardo Peruilh-Bagolini (L)

Department of Dermatology, Faculty of Medicine, University of Chile, Santiago, Chile, leoperuilhbagolini@gmail.com.

Mariana Silva-Astorga (M)

Department of Dermatology, Faculty of Medicine, University of Chile, Santiago, Chile.

María Jesús Hernández San Martín (MJ)

Department of Dermatology, Faculty of Medicine, University of Chile, Santiago, Chile.

Magdalini-Sofia Manoli (MS)

First Department of Dermatology, Aristotle University, Thessaloniki, Greece.

Chryssoula Papageorgiou (C)

First Department of Dermatology, Aristotle University, Thessaloniki, Greece.

Zoe Apalla (Z)

Second Department of Dermatology, Aristotle University, Thessaloniki, Greece.

Aimilios Lallas (A)

First Department of Dermatology, Aristotle University, Thessaloniki, Greece.

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Classifications MeSH