2012
DOI: 10.1016/j.jaad.2011.06.042
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Diagnostic usefulness of dermatoscopy in differentiating lichen sclerous et atrophicus from morphea

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Cited by 53 publications
(44 citation statements)
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“…This last finding is different from what was found by other studies as the most common vessel morphology reported in the literature was linear branching [24][25][26][27][28][29][30][31][32]. Other relevant, additional, "nonvascular," dermoscopic findings included pigmentary structures, especially structureless brownish areas and reticular brownish areas, for morphea (which are related to epidermal hyperpigmentation often seen on histology of this dermatosis) and scaling along with hemorrhagic spots for CLS (which respectively correspond to hyperkeratosis and erythrocyte extravasation typical of this condition) [1,2].…”
Section: Discussioncontrasting
confidence: 99%
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“…This last finding is different from what was found by other studies as the most common vessel morphology reported in the literature was linear branching [24][25][26][27][28][29][30][31][32]. Other relevant, additional, "nonvascular," dermoscopic findings included pigmentary structures, especially structureless brownish areas and reticular brownish areas, for morphea (which are related to epidermal hyperpigmentation often seen on histology of this dermatosis) and scaling along with hemorrhagic spots for CLS (which respectively correspond to hyperkeratosis and erythrocyte extravasation typical of this condition) [1,2].…”
Section: Discussioncontrasting
confidence: 99%
“…These observations are in line with previous analyses [24][25][26][27][28][29][30][31][32], except for the detection of hemorrhagic spots, which have never been previously reported. It is likely that this difference, as well as the lower detection of "inflammatory/vascular" findings in our studies compared to the previous ones [24][25][26][27][28][29][30][31][32], could be due to the fact that we included lesions belonging to all the clinical stages and not just active/inflammatory patches.…”
Section: Discussionsupporting
confidence: 93%
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“…Campione et al [4] described fibrotic beams and small whitish patches crossed by linear branching vessels that may exhibit a lilac ring. These findings correspond histopathologically to dermal sclerosis that is present in advanced fibrotic lesions [5,6]. In our case, the whitish skin surface was a clue of underlying fibrosis, and also other dermoscopic signs suggested the presence of dermal fibrosis.…”
Section: Discussionsupporting
confidence: 86%