Dermoscopy and reflectance confocal microscopy in cutaneous leishmaniasis on the face

Buljan, Marija; Zalaudek, Iris; Massone, Cesare; Hofmann‐Wellenhof, Rainer; Fink‐Puches, Regina; Arzberger, Edith

doi:10.1111/ajd.12404

Cited by 10 publications

(22 citation statements)

References 3 publications

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“…In vivo reflectance confocal microscopy (RCM) findings in CL have been described in only two cases of CL 3,4 . We report another case with the RCM findings.…”

Section: Introductionmentioning

confidence: 80%

“…Alarcon et al 3 observed mild epidermal disarray, follicular plugging, amorphous material with moderate reflectivity and the presence of sharply demarcated bright rectangular structures resembling bricks, located at the stratum corneum and superficial epidermis on RCM. Buljan et al 4 reported a typical honeycomb epidermal pattern with scattered small bright cells. Both authors demonstrated polymorphic inflammatory infiltrate with multinucleated giant cells and longitudinal, curvilinear vessels in the upper/papillary dermis 3,4 .…”

Section: Discussionmentioning

confidence: 99%

“…Buljan et al 4 reported a typical honeycomb epidermal pattern with scattered small bright cells. Both authors demonstrated polymorphic inflammatory infiltrate with multinucleated giant cells and longitudinal, curvilinear vessels in the upper/papillary dermis 3,4 . Buljan et al 4 also defined hyperreflecting interwoven fibers forming roundish structures resembling birds' nests, follicles, and granulomas as bright oval structures.…”

Section: Discussionmentioning

confidence: 99%

“…RCM is an in vivo microscopic evaluation method that allows detailed examination of morphological changes of skin lesions 6 . To our knowledge, RCM findings of CL have been reported only in two cases in the literature 3,4 …”

Section: Discussionmentioning

confidence: 99%

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In vivo reflectance confocal microscopic imaging of Leishmania amastigotes (Leishman bodies): A case report

2021

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Cutaneous leishmaniasis (CL) is an intracellular parasitic infectious skin disease with a chronic self‐limited course. In vivo reflectance confocal microscopy (RCM) findings in CL have been described in only two cases of CL. We report another case with RCM findings; however to our knowledge, this is the first demonstration of Leishmania amastigotes in RCM imaging. A centrally eroded reddish nodular lesion with a diameter of 12 mm was observed on the leg of a 36‐years‐old male with a 1‐month history. On dermoscopy, a central yellowish crust, and irregularly distributed whitish opaque structures ranging in size and shape (round to polygonal) were observed. There were also irregular vessels mostly at the center and dotted/glomerular vessels at the periphery. On RCM, mild epidermal disarray with some scattered bright cells at the basal layer was observed. At the dermis, dense infiltration of polymorphic/roundish cells with heterogeneous reflectivity was seen. These large, mildly reflecting cells with fine granular structures in their cytoplasm were compatible with macrophages. Histopathology was concordant with CL. The Leishmania amastigotes seen as cytoplasmic granularity on RCM were the clue feature for the initial diagnosis.

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“…In vivo reflectance confocal microscopy (RCM) findings in CL have been described in only two cases of CL 3,4 . We report another case with the RCM findings.…”

Section: Introductionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

In vivo reflectance confocal microscopic imaging of Leishmania amastigotes (Leishman bodies): A case report

2021

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“…Early-stage lesions may have a yellow oval or tear-drop-shaped aspect known as yellow tears made from follicles due to the compression of follicular openings. In a later-stage of hyperkeratosis, hairpin and dotted vessels such as the so-called -white starburst‖-like pattern due to central erosion and the peripheral hyperkeratosis can be seen [61] .…”

Section: Cutaneous Leishmaniasismentioning

confidence: 99%

Alternative uses of dermoscopy in general dermatology

Papakonstantinou

Raap

2017

J Surg Dermatol

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Abstract:Over the last few years, dermoscopy has been shown to be an effective diagnostic tool in assisting the noninvasive diagnosis not only of skin tumors but also of various general dermatological disorders. The use of dermoscopy has offered a new morphological dimension supporting the diagnosis and clinical follow-up of several dermatological conditions. Within the last years, dermoscopy is gaining ground in general dermatology as well. Among the large spectrum of skin infections, specific dermoscopic patterns have been described for common skin infections such as viral warts, molluscum contagiosum, scabies, and pediculosis, as well as for tinea nigra, tungiasis, and cutaneous larva migrans. Also, common skin disorders such as psoriasis, pityriasis rosea or lichen planus show characteristic dermoscopic patterns. The aim of this article is to provide an overview of the use of dermoscopy in general dermatology by analyzing the dermoscopic differential diagnosis of relatively common dermatological disorders grouped according to their clinical characteristics.

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