Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation

Grover’s disease is a benign condition of unknown origin characterized clinically by an erythematous papulovesicular eruption and histopathologically by intraepidermal clefting and four different patterns of acantholysis: Darier-like, pemphigus-like, spongiotic, and Hailey-Hailey-like. A case of a...

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Autores principales: Francesco Lacarrubba, Simona Boscaglia, Maria Rita Nasca, Rosario Caltabiano, Giuseppe Micali
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Lenguaje:EN
Publicado: Mattioli1885 2017
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Acceso en línea:https://doaj.org/article/6ecab2e3c2244a188fd7a3571a6e2ee2
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spelling oai:doaj.org-article:6ecab2e3c2244a188fd7a3571a6e2ee22021-11-17T08:30:36ZGrover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation10.5826/dpc.0703a112160-9381https://doaj.org/article/6ecab2e3c2244a188fd7a3571a6e2ee22017-08-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/323https://doaj.org/toc/2160-9381 Grover’s disease is a benign condition of unknown origin characterized clinically by an erythematous papulovesicular eruption and histopathologically by intraepidermal clefting and four different patterns of acantholysis: Darier-like, pemphigus-like, spongiotic, and Hailey-Hailey-like. A case of a 54-year-old female affected by Grover’s disease and showing a Darier-like histopathological pattern is described. Polarized light dermoscopy (PLD) revealed the presence of polygonal, star-like shaped yellowish/brownish areas of various sizes surrounded by a thin whitish halo. Handheld reflectance confocal microscopy (RCM) showed the presence of intraepidermal dark spaces histopathologically corresponding to intraepidermal clefts, roundish, bright cells correlating to acantholytic keratinocytes, target-like cells with a dark center and a highly reflectant halo corresponding to dyskeratotic cells, and epidermal, polygonal, structureless areas reflecting hyperparakeratosis. In conclusion, the use of PLD and RCM combined with clinical presentation, personal/family history, and genetic evaluation may be useful for the non-invasive diagnosis of Darier-like Grover’s disease. Francesco LacarrubbaSimona BoscagliaMaria Rita NascaRosario CaltabianoGiuseppe MicaliMattioli1885articlereflectance confocal microscopydermoscopyGrover’s diseaseDarier’s diseaseacantholysiscorp rondsDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 7, Iss 3 (2017)
institution DOAJ
collection DOAJ
language EN
topic reflectance confocal microscopy
dermoscopy
Grover’s disease
Darier’s disease
acantholysis
corp ronds
Dermatology
RL1-803
spellingShingle reflectance confocal microscopy
dermoscopy
Grover’s disease
Darier’s disease
acantholysis
corp ronds
Dermatology
RL1-803
Francesco Lacarrubba
Simona Boscaglia
Maria Rita Nasca
Rosario Caltabiano
Giuseppe Micali
Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
description Grover’s disease is a benign condition of unknown origin characterized clinically by an erythematous papulovesicular eruption and histopathologically by intraepidermal clefting and four different patterns of acantholysis: Darier-like, pemphigus-like, spongiotic, and Hailey-Hailey-like. A case of a 54-year-old female affected by Grover’s disease and showing a Darier-like histopathological pattern is described. Polarized light dermoscopy (PLD) revealed the presence of polygonal, star-like shaped yellowish/brownish areas of various sizes surrounded by a thin whitish halo. Handheld reflectance confocal microscopy (RCM) showed the presence of intraepidermal dark spaces histopathologically corresponding to intraepidermal clefts, roundish, bright cells correlating to acantholytic keratinocytes, target-like cells with a dark center and a highly reflectant halo corresponding to dyskeratotic cells, and epidermal, polygonal, structureless areas reflecting hyperparakeratosis. In conclusion, the use of PLD and RCM combined with clinical presentation, personal/family history, and genetic evaluation may be useful for the non-invasive diagnosis of Darier-like Grover’s disease.
format article
author Francesco Lacarrubba
Simona Boscaglia
Maria Rita Nasca
Rosario Caltabiano
Giuseppe Micali
author_facet Francesco Lacarrubba
Simona Boscaglia
Maria Rita Nasca
Rosario Caltabiano
Giuseppe Micali
author_sort Francesco Lacarrubba
title Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
title_short Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
title_full Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
title_fullStr Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
title_full_unstemmed Grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
title_sort grover's disease: dermoscopy, reflectance confocal microscopy, and histopathological correlation
publisher Mattioli1885
publishDate 2017
url https://doaj.org/article/6ecab2e3c2244a188fd7a3571a6e2ee2
work_keys_str_mv AT francescolacarrubba groversdiseasedermoscopyreflectanceconfocalmicroscopyandhistopathologicalcorrelation
AT simonaboscaglia groversdiseasedermoscopyreflectanceconfocalmicroscopyandhistopathologicalcorrelation
AT mariaritanasca groversdiseasedermoscopyreflectanceconfocalmicroscopyandhistopathologicalcorrelation
AT rosariocaltabiano groversdiseasedermoscopyreflectanceconfocalmicroscopyandhistopathologicalcorrelation
AT giuseppemicali groversdiseasedermoscopyreflectanceconfocalmicroscopyandhistopathologicalcorrelation
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