Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis

Background: Cutaneous leishmaniasis (CL) is a protozoan infectious disease. Dermoscopy is a noninvasive diagnostic tool that has been applied to several skin diseases, including infestations. Objectives: To determine the dermoscopic patterns of CL lesions and to investigate whether a relationshi...

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Autores principales:	Gamze Serarslan, Özlem Ekiz, Cahit Özer, Gökhan Sarıkaya
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2019
Materias:	dermoscopy leishmaniasis vascular cutaneous Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/d0823d7a1d914da294197b0ff8b0dabf
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spelling	oai:doaj.org-article:d0823d7a1d914da294197b0ff8b0dabf2021-11-17T08:29:33ZDermoscopy in the Diagnosis of Cutaneous Leishmaniasis10.5826/dpc.0902a062160-9381https://doaj.org/article/d0823d7a1d914da294197b0ff8b0dabf2019-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/606https://doaj.org/toc/2160-9381 Background: Cutaneous leishmaniasis (CL) is a protozoan infectious disease. Dermoscopy is a noninvasive diagnostic tool that has been applied to several skin diseases, including infestations. Objectives: To determine the dermoscopic patterns of CL lesions and to investigate whether a relationship exists between dermoscopic characteristics and the disease duration, localization, and type of CL lesions. Methods: Seventy-nine patients (48 male, 31 female) from Hatay, Turkey, were enrolled in the study and a dermoscopic evaluation was performed on 139 lesions. Images of CL lesions were taken via polarized light contact dermoscopy. Chi-square and Fisher exact tests were used for statistical analyses and P values <0.05 were considered significant. Results: Generalized erythema was seen in all CL lesions. Vascular structures (94.2%), yellow tears (75.5%), and a white starburst-like pattern (58.3%) were the other most common dermoscopic features. Hyperkeratosis (P = 0.001) and white starburst-like pattern (P < 0.001) were more prevalent in the extremities than elsewhere. Among vascular structures, linear irregular (45.8%), hairpin (43.5%), and comma-shaped (25.9%) patterns were the most common dermoscopic findings. Linear irregular (P = 0.023) and arborizing vessels (P = 0.001) were observed in the head-neck region. Dotted (P = 0.009), hairpin (P < 0.001), and glomerular-like (P = 0.016) morphological findings were more prevalent in the extremities. Statistical significances in disease duration were detected in microarborizing (P = 0.027) and arborizing (P = 0.004) vessels and were most prevalent with a disease duration of >6 months. Hairpin vessels were prevalent in the plaque and nodulo-ulcerative type of lesions. Dotted vessels were most commonly seen in the plaque type (47.4%) of lesions. Conclusions: Generalized erythema, yellow tears, and starburst-like patterns, as well as linear irregular, hairpin, comma-shaped, and arborizing vessels, were the most commonly detected dermoscopic features of CL lesions. We suggest that the presence of these features can be helpful when diagnosing CL lesions by dermoscopy. Gamze SerarslanÖzlem EkizCahit ÖzerGökhan SarıkayaMattioli1885articledermoscopyleishmaniasisvascularcutaneousDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 2 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy leishmaniasis vascular cutaneous Dermatology RL1-803
spellingShingle	dermoscopy leishmaniasis vascular cutaneous Dermatology RL1-803 Gamze Serarslan Özlem Ekiz Cahit Özer Gökhan Sarıkaya Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis
description	Background: Cutaneous leishmaniasis (CL) is a protozoan infectious disease. Dermoscopy is a noninvasive diagnostic tool that has been applied to several skin diseases, including infestations. Objectives: To determine the dermoscopic patterns of CL lesions and to investigate whether a relationship exists between dermoscopic characteristics and the disease duration, localization, and type of CL lesions. Methods: Seventy-nine patients (48 male, 31 female) from Hatay, Turkey, were enrolled in the study and a dermoscopic evaluation was performed on 139 lesions. Images of CL lesions were taken via polarized light contact dermoscopy. Chi-square and Fisher exact tests were used for statistical analyses and P values <0.05 were considered significant. Results: Generalized erythema was seen in all CL lesions. Vascular structures (94.2%), yellow tears (75.5%), and a white starburst-like pattern (58.3%) were the other most common dermoscopic features. Hyperkeratosis (P = 0.001) and white starburst-like pattern (P < 0.001) were more prevalent in the extremities than elsewhere. Among vascular structures, linear irregular (45.8%), hairpin (43.5%), and comma-shaped (25.9%) patterns were the most common dermoscopic findings. Linear irregular (P = 0.023) and arborizing vessels (P = 0.001) were observed in the head-neck region. Dotted (P = 0.009), hairpin (P < 0.001), and glomerular-like (P = 0.016) morphological findings were more prevalent in the extremities. Statistical significances in disease duration were detected in microarborizing (P = 0.027) and arborizing (P = 0.004) vessels and were most prevalent with a disease duration of >6 months. Hairpin vessels were prevalent in the plaque and nodulo-ulcerative type of lesions. Dotted vessels were most commonly seen in the plaque type (47.4%) of lesions. Conclusions: Generalized erythema, yellow tears, and starburst-like patterns, as well as linear irregular, hairpin, comma-shaped, and arborizing vessels, were the most commonly detected dermoscopic features of CL lesions. We suggest that the presence of these features can be helpful when diagnosing CL lesions by dermoscopy.
format	article
author	Gamze Serarslan Özlem Ekiz Cahit Özer Gökhan Sarıkaya
author_facet	Gamze Serarslan Özlem Ekiz Cahit Özer Gökhan Sarıkaya
author_sort	Gamze Serarslan
title	Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis
title_short	Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis
title_full	Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis
title_fullStr	Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis
title_full_unstemmed	Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis
title_sort	dermoscopy in the diagnosis of cutaneous leishmaniasis
publisher	Mattioli1885
publishDate	2019
url	https://doaj.org/article/d0823d7a1d914da294197b0ff8b0dabf
work_keys_str_mv	AT gamzeserarslan dermoscopyinthediagnosisofcutaneousleishmaniasis AT ozlemekiz dermoscopyinthediagnosisofcutaneousleishmaniasis AT cahitozer dermoscopyinthediagnosisofcutaneousleishmaniasis AT gokhansarıkaya dermoscopyinthediagnosisofcutaneousleishmaniasis
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Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis

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