Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy

Abstract Erythrodermic variants of cutaneous T-cell lymphoma (CTLC) are one of the case of erythroderma. The aim of the study was to assess the value of scalp dermoscopy in differentiation between erythrodermic CTCL, psoriasis, and atopic dermatitis. A total of 76 patients were included into the stu...

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Autores principales:	Adriana Rakowska, Magdalena Jasińska, Mariusz Sikora, Joanna Czuwara, Patrycja Gajda-Mróz, Olga Warszawik-Hendzel, Małgorzata Kwiatkowska, Anna Waśkiel-Burnat, Małgorzata Olszewska, Lidia Rudnicka
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5804e01d17214b91be7b542e39a4cec1
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spelling	oai:doaj.org-article:5804e01d17214b91be7b542e39a4cec12021-12-02T15:23:10ZCutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy10.1038/s41598-020-78233-12045-2322https://doaj.org/article/5804e01d17214b91be7b542e39a4cec12021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78233-1https://doaj.org/toc/2045-2322Abstract Erythrodermic variants of cutaneous T-cell lymphoma (CTLC) are one of the case of erythroderma. The aim of the study was to assess the value of scalp dermoscopy in differentiation between erythrodermic CTCL, psoriasis, and atopic dermatitis. A total of 76 patients were included into the study (16 patients with erythrodermic CTCL, 20 patients with psoriatic erythroderma, 20 with erythrodermic atopic dermatitis, and 20 healthy volunteers). The most common trichoscopic features of erythrodermic CTCL were: numerous pili torti, numerous broken hairs, white thick interfollicular bands, and patchy hyperpigmentation of the background. They were observed in 81% (13/16), 75% (12/16), 56% (9/16), and 37.5% (6/16) of patients with CTCL, respectively (p < 0.001). Other specific features of erythrodermic CTCL were 8-shaped hairs (19%; 3/16) and visible anagen bulbs (12.5%; 2/16) (p < 0.05 and p = 0.052, respectively). The most common vascular pattern of erythrodermic CTCL was perifollicular arrangement of glomerular (50%; 8/16; p < 0.001) or linear vessels (31%; 5/16; p < 0.05). Follicular spicules-like scaling was pathognomonic for erythrodermic CTCL (12%, 2/16) although its presence did not reach statistical significance (p = 0.052). In conclusion, the characteristic trichoscopic findings of erythrodermic CTCL are numerous pili torti, eight-shaped hairs, thick white interfollicular bands, color heterogeneity of the background and perifollicular arrangement of vessels.Adriana RakowskaMagdalena JasińskaMariusz SikoraJoanna CzuwaraPatrycja Gajda-MrózOlga Warszawik-HendzelMałgorzata KwiatkowskaAnna Waśkiel-BurnatMałgorzata OlszewskaLidia RudnickaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Adriana Rakowska Magdalena Jasińska Mariusz Sikora Joanna Czuwara Patrycja Gajda-Mróz Olga Warszawik-Hendzel Małgorzata Kwiatkowska Anna Waśkiel-Burnat Małgorzata Olszewska Lidia Rudnicka Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
description	Abstract Erythrodermic variants of cutaneous T-cell lymphoma (CTLC) are one of the case of erythroderma. The aim of the study was to assess the value of scalp dermoscopy in differentiation between erythrodermic CTCL, psoriasis, and atopic dermatitis. A total of 76 patients were included into the study (16 patients with erythrodermic CTCL, 20 patients with psoriatic erythroderma, 20 with erythrodermic atopic dermatitis, and 20 healthy volunteers). The most common trichoscopic features of erythrodermic CTCL were: numerous pili torti, numerous broken hairs, white thick interfollicular bands, and patchy hyperpigmentation of the background. They were observed in 81% (13/16), 75% (12/16), 56% (9/16), and 37.5% (6/16) of patients with CTCL, respectively (p < 0.001). Other specific features of erythrodermic CTCL were 8-shaped hairs (19%; 3/16) and visible anagen bulbs (12.5%; 2/16) (p < 0.05 and p = 0.052, respectively). The most common vascular pattern of erythrodermic CTCL was perifollicular arrangement of glomerular (50%; 8/16; p < 0.001) or linear vessels (31%; 5/16; p < 0.05). Follicular spicules-like scaling was pathognomonic for erythrodermic CTCL (12%, 2/16) although its presence did not reach statistical significance (p = 0.052). In conclusion, the characteristic trichoscopic findings of erythrodermic CTCL are numerous pili torti, eight-shaped hairs, thick white interfollicular bands, color heterogeneity of the background and perifollicular arrangement of vessels.
format	article
author	Adriana Rakowska Magdalena Jasińska Mariusz Sikora Joanna Czuwara Patrycja Gajda-Mróz Olga Warszawik-Hendzel Małgorzata Kwiatkowska Anna Waśkiel-Burnat Małgorzata Olszewska Lidia Rudnicka
author_facet	Adriana Rakowska Magdalena Jasińska Mariusz Sikora Joanna Czuwara Patrycja Gajda-Mróz Olga Warszawik-Hendzel Małgorzata Kwiatkowska Anna Waśkiel-Burnat Małgorzata Olszewska Lidia Rudnicka
author_sort	Adriana Rakowska
title	Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
title_short	Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
title_full	Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
title_fullStr	Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
title_full_unstemmed	Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
title_sort	cutaneous t-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5804e01d17214b91be7b542e39a4cec1
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Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy

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