Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania

Background: Papulosquamous skin diseases can be challenging to diagnose, especially in dark skin. Dermoscopy is reported to be helpful, but few data are available on its use in skin type IV or darker. Objective: To describe dermoscopic features in plaque-type psoriasis (PP), lichen planus (LP), and...

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Autores principales: Maitseo K. Nwako-Mohamadi, John E. Masenga, David Mavura, Ola F. Jahanpour, Eva Mbwilo, Andreas Blum
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Publicado: Mattioli1885 2019
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spelling oai:doaj.org-article:12886823465e4dd78fac5ac0526c974c2021-11-17T08:29:47ZDermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania10.5826/dpc.0901a112160-9381https://doaj.org/article/12886823465e4dd78fac5ac0526c974c2019-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/548https://doaj.org/toc/2160-9381 Background: Papulosquamous skin diseases can be challenging to diagnose, especially in dark skin. Dermoscopy is reported to be helpful, but few data are available on its use in skin type IV or darker. Objective: To describe dermoscopic features in plaque-type psoriasis (PP), lichen planus (LP), and pityriasis rosea (PR) patients attending the Regional Dermatology Training Centre in Moshi, Northern Tanzania, and to compare findings with published data. Methods: A descriptive cross-sectional study was conducted at a tertiary hospital from October 2016 to June 2017. Fifty-six patients with PP, 25 with LP, and 9 with PR were enrolled consecutively. Clinical diagnosis was confirmed with histopathology in 74.4%. Dermoscopic vascular and nonvascular features from 225 lesions were analyzed. Results: Of the 90 patients enrolled, 58.9% were male and the median age was 50 (interquartile range 32.8-60.0) years. In PP lesions, red dots were found in 64.2% and white scale in 45.5%. In LP lesions the background was violet in 45.5% and 58.2% revealed Wickham striae. In PR lesions a dull red background was found in 50.0%, white scale in 83.3%, but no vessels were detectable. Conclusion: Dermoscopy features in PP, LP, and PR in dark skin are mostly similar to those in light skin.   Maitseo K. Nwako-MohamadiJohn E. MasengaDavid MavuraOla F. JahanpourEva MbwiloAndreas BlumMattioli1885articledermoscopypapulosquamousdark skinTanzaniaAfricaDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 1 (2019)
institution DOAJ
collection DOAJ
language EN
topic dermoscopy
papulosquamous
dark skin
Tanzania
Africa
Dermatology
RL1-803
spellingShingle dermoscopy
papulosquamous
dark skin
Tanzania
Africa
Dermatology
RL1-803
Maitseo K. Nwako-Mohamadi
John E. Masenga
David Mavura
Ola F. Jahanpour
Eva Mbwilo
Andreas Blum
Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania
description Background: Papulosquamous skin diseases can be challenging to diagnose, especially in dark skin. Dermoscopy is reported to be helpful, but few data are available on its use in skin type IV or darker. Objective: To describe dermoscopic features in plaque-type psoriasis (PP), lichen planus (LP), and pityriasis rosea (PR) patients attending the Regional Dermatology Training Centre in Moshi, Northern Tanzania, and to compare findings with published data. Methods: A descriptive cross-sectional study was conducted at a tertiary hospital from October 2016 to June 2017. Fifty-six patients with PP, 25 with LP, and 9 with PR were enrolled consecutively. Clinical diagnosis was confirmed with histopathology in 74.4%. Dermoscopic vascular and nonvascular features from 225 lesions were analyzed. Results: Of the 90 patients enrolled, 58.9% were male and the median age was 50 (interquartile range 32.8-60.0) years. In PP lesions, red dots were found in 64.2% and white scale in 45.5%. In LP lesions the background was violet in 45.5% and 58.2% revealed Wickham striae. In PR lesions a dull red background was found in 50.0%, white scale in 83.3%, but no vessels were detectable. Conclusion: Dermoscopy features in PP, LP, and PR in dark skin are mostly similar to those in light skin.  
format article
author Maitseo K. Nwako-Mohamadi
John E. Masenga
David Mavura
Ola F. Jahanpour
Eva Mbwilo
Andreas Blum
author_facet Maitseo K. Nwako-Mohamadi
John E. Masenga
David Mavura
Ola F. Jahanpour
Eva Mbwilo
Andreas Blum
author_sort Maitseo K. Nwako-Mohamadi
title Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania
title_short Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania
title_full Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania
title_fullStr Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania
title_full_unstemmed Dermoscopic Features of Psoriasis, Lichen Planus, and Pityriasis Rosea in Patients with Skin Type IV and Darker Attending the Regional Dermatology Training Centre in Northern Tanzania
title_sort dermoscopic features of psoriasis, lichen planus, and pityriasis rosea in patients with skin type iv and darker attending the regional dermatology training centre in northern tanzania
publisher Mattioli1885
publishDate 2019
url https://doaj.org/article/12886823465e4dd78fac5ac0526c974c
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