Dermoscopic findings of umbilical granuloma

Ancer-Arellano, Jesus; Argenziano, Giuseppe; Villarreal‐Martínez, Alejandra; Garza, Jesús Alberto Cárdenas‐de la; Villarreal-Villarreal, César Daniel; Ocampo‐Candiani, Jorge

doi:10.1111/pde.13774

Cited by 5 publications

(5 citation statements)

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“…The systematic review revealed two cases of umbilical granuloma. Both of them (2/2; 100%) presented with a polymorphic vascular pattern and a milky-white background, corresponding with the presence of granulation tissue and the proliferation of vascular endothelial cells and fibroblasts [ 31 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…The following supporting information can be downloaded at: , Table S1: Joanna Briggs Institute Appraisal tool questions; Table S2: Risk of bias assessment; Table S3: Overview of the characteristics of included studies. References [ 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ] are cited in the Supplementary Materials.…”

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confidence: 99%

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Dermoscopy of Umbilical Lesions—A Systematic Review

Żółkiewicz,

Sławińska,

Maińska

et al. 2024

JCM

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Background: The umbilicus is a fibrous remnant located in the centre of the abdomen. Various entities may be encountered in this special anatomical location; however, little is known about their dermoscopic presentation. The aim of this study was to provide a comprehensive summary of existing evidence on dermoscopic features of umbilical lesions. Methods: Studies assessing dermoscopic images of umbilical lesions were included in this study. No age, ethnicity or skin phototype restrictions were applied. Papers assessing lesions outside of the umbilical area, lacking dermoscopic images and/or dermoscopic description and not related to the topic were excluded. Embase, Medline and Cochrane Library were searched from inception to the end of May 2023. The Joanna Briggs Institute critical appraisal tools were used to evaluate the risk of bias of the selected studies. The quality and the level of evidence of included studies were assessed according to the Oxford 2011 Levels of Evidence. Thirty-four studies reporting a total of 39 lesions met the inclusion criteria and were included in qualitative analysis. Results: A qualitative synthesis of the following entities was performed: melanoma, nevi, basal cell carcinoma, fibroepithelioma of Pinkus, Sister Mary Joseph nodule, mycosis fungoides, dermatofibroma, endometriosis, epidermal cyst, granuloma, intravascular papillary endothelial hyperplasia, lichen planus, omphalolith, seborrheic keratosis, and syringoma. Conclusions: Dermoscopy is a non-invasive technique that may be useful in the differential diagnosis of umbilical lesions. The main limitations of this study were lack of a high level of evidence in the studies and the lack of uniformity in applied dermoscopic terminology between included studies.

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Dermoscopy of Umbilical Lesions—A Systematic Review

Żółkiewicz,

Sławińska,

Maińska

et al. 2024

JCM

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“…It is the most common umbilical abnormality found in infants, occurring in one in 500 newborns [ 1 ]. The overgrowth is associated with fibroblasts, pro-inflammatory and inflammatory cells, and endothelial cells, all embedded in edematous stromal tissue [ 2 ]. The presentation is a small nodular growth located at the base of the umbilicus.…”

Section: Introductionmentioning

confidence: 99%

Small Bowel Injury Due to Electrocautery Excision of Umbilical Granuloma in a Four-Month-Old Child

Tayade¹,

Khedkar²,

Lamture³

et al. 2022

Cureus

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Many surgeons are familiar with small bowel perforation-a breach in the continuity of the bowel wall resulting in spillage of contents into the peritoneal cavity. Usually, patients present with severe abdominal pain, and radiological investigations suggest pneumoperitoneum. However, intestinal perforation secondary to electrocautery used for umbilical granuloma excision is rare. We report a case of a 4-month-old boy who presented with primary concerns of constipation, severe abdominal pain, and multiple episodes of vomiting three days following an electrocautery excision of umbilical granuloma. An exploratory laparotomy revealed a perforation of the terminal ileum. Primary repair of the ileal perforation was done, which saved the infant’s life. As this case illustrates, even a minor surgical procedure can lead to a major intraperitoneal injury, and appropriate evaluation based on clinical signs and symptoms is imperative. This case is also a reminder to handle an electrosurgical instrument with proper skill, training, and technical assistance.

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“…Our findings were similar to previous reported dermatoscopic findings of UG by Ancer-Arellano J et al . [ 2 ] Patient was treated with topical application of 30% trichloracetic acid once a week followed by resolution of the lesions. Other known treatment options include topical silver nitrate, table salt application and surgical excision.…”

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confidence: 99%