Our study suggests that a smartphone-based teledermatology inpatient consultation model could be a reasonable option for hospitals lacking dermatological services. Also, it may be as or more effective than face-to-face consultations, if performed by a more experienced dermatologist. When feasible, photographing training should be performed.
Syringomas are benign adnexal tumors that are characterized histologically by the presence of small solid and cystic epithelial structures in the upper half of the reticular dermis. Reflectance confocal microscopy is a noninvasive diagnostic method that enables in vivo visualization of tissues with a resolution that approximates that of conventional histopathology. The use of this method in skin imaging over the past several years has improved dermatological diagnoses, creating the potential for its wide application in such diagnoses, especially for benign and malignant skin tumors. We describe its use in the diagnosis of syringoma in 2 patients and correlate the resulting clinical, histopathological, and digital reflectance confocal microscopy images.
The present study aimed to determine the prevalence of Kamino bodies in Reed
nevus, since most studies to date show conflicting data on this issue. This was
a retrospective observational study, in which the histopathology of 19 Reed
nevus lesions were reviewed. The slides were stained by hematoxylin and eosin
and periodic acid-Schiff, with a special focus placed on the identification of
Kamino bodies. Some clinical data were also collected. The median patient age
was 12 years (range of 2 to 58). The women to men ratio was 5:4. Lesions were
located on different parts of the body. Kamino bodies were found in eleven
lesions (57.89%). five showed pigmented Kamino bodies (26.31%), four
non-pigmented Kamino bodies (21,05%), and 2 (10.52%) had both. Kamino bodies,
pigmented or not, are a common histological finding in Reed nevus and may well
represent a good marker to differentiate these from malignant melanomas.
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