Granulomatous rosacea: a case report

Kelati, Awatef; Mernissi, F.Z.

doi:10.1186/s13256-017-1401-5

Cited by 10 publications

(18 citation statements)

References 7 publications

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“…3 erythematous halo filling the follicular openings were reported in a patient with granulomatous rosacea. 7 These two case reports and one study, which were performed by handheld dermoscope, revealed similar findings. Our study was the first report to use videodermoscope and contains a control group to compare the results with the normal skin without demodicosis.…”

Section: Discussionsupporting

confidence: 59%

“…3 Two different case reports with secondary demodicosis and with granulomatous rosacea confirmed the Demodex tails as a specific feature. 6,7 We documented them in all patients with demodicosis. Thus, we noticed Demodex tails as the major videodermoscopic finding and the only specific and sensitive criteria for the diagnosis.…”

Section: Follicular Featuresmentioning

confidence: 99%

“…[3][4][5] There have been only one study and two case reports published regarding the usefulness of handheld dermoscopy in the diagnosis. 3,6,7 Videodermoscopic findings of demodicosis has not been developed yet.…”

Section: Introductionmentioning

confidence: 99%

“…Few studies using new diagnostic techniques including dermoscopy, confocal laser scanning microscopy, and high‐definition optical coherence tomography reported encouraging results . There have been only one study and two case reports published regarding the usefulness of handheld dermoscopy in the diagnosis . Videodermoscopic findings of demodicosis has not been developed yet.…”

Section: Introductionmentioning

confidence: 99%

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Definition of videodermoscopic features of demodicosis

Köse

Borlu

2019

Int J Dermatology

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Background Diagnosis of demodicosis is usually confirmed by standardized skin surface biopsy. The skin of the patients with demodicosis is usually very sensitive. There is a need for new noninvasive tests. Videodermoscopic findings of demodicosis have not been validated yet. Our aim was to provide a noninvasive and easy method for diagnosis of demodicosis by using videodermoscopy. Materials and methods This study included 26 patients with demodicosis which were confirmed with microscopy and responded well to anti‐Demodex therapy Twenty‐six age‐ and sex‐matched individuals without demodicosis constituted the control group. Dermatologic evaluation included clinical observation along with microscopy. All photographs of the clinical and dermoscopic findings were taken with videodermoscope. Results Demodex tails representing “Demodex mites” were a common feature in all patients. Gray dots were described as the second major videodermoscopic finding. Epidermal scale and red dots were also observed with higher prevalence than the other videodermoscopic features. We defined a new finding as follicular annular pigmentation corresponding to the facial pigmentation with demodicosis by videodermoscopy. Conclusions We concluded that it seems possible to confirm the clinical diagnosis of demodicosis by videodermoscopy, with similar results to handheld dermoscopy. Demodex tails should be considered as a sign of demodicosis, whereas detection of gray dots, epidermal scale, and red dots may raise the suspicion of demodicosis.

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Section: Discussionsupporting

confidence: 59%

Section: Follicular Featuresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Definition of videodermoscopic features of demodicosis

Köse

Borlu

2019

Int J Dermatology

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“…In total, eight studies used dermoscopy [40][41][42][43][44][45][46][47] (of which two studies used polarized light 40,41 ), and one article used video dermoscopy for diagnostic and monitoring purposes. 48 ETR was the most studied rosacea subtype.…”

Section: Dermoscopymentioning

confidence: 99%

Noninvasive objective skin measurement methods for rosacea assessment: a systematic review

et al. 2019

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Summary Background Rosacea assessment and therapy monitoring can be challenging to standardize, as most clinical evaluation systems are prone to interobserver variability and not always validated. Therefore, objective, reliable and preferably noninvasive measurement tools are needed. Objectives To give insight into available noninvasive imaging techniques and biophysical methods in rosacea by performing a systematic review. Methods PubMed, Embase, Cochrane and Web of Science databases were searched until 1 September 2018 in accordance with PRISMA guidelines, to identify studies providing original data about objective noninvasive imaging and/or biophysical skin measurement techniques for diagnosis, assessing severity or therapy monitoring of adult patients with cutaneous facial rosacea. Risk of bias of included articles was assessed with the Cochrane Risk of Bias tool, Quality in Prognosis Studies tool, and the Newcastle–Ottawa Scale. Results A total of 78 studies were included, describing 14 imaging and biophysical methods. Widespread information about (sub)surface cutaneous morphology and functionality was obtained. Methodological study quality was relatively low and interstudy outcome variability was large. Several tools show promising value in research settings: for treatment follow‐up Demodex mites are countable with reflectance confocal microscopy, spectrometry can quantify erythema, and rosacea severity could be objectified with skin hydration‐ and transepidermal water loss measurements. Conclusions This systematic review describes the spectrum of noninvasive imaging and biophysical methods in rosacea assessment, giving multifaceted information about structure and properties of rosacea skin, especially useful for research purposes. Larger studies with good methodological quality are needed to create validated protocols for further implementation into research. What's already known about this topic? Rosacea is a chronic inflammatory skin disease with a variety of clinical manifestations. Most clinical evaluation systems are subjective, not always validated, and subsurface skin processes remain unnoticed. Currently, different types of noninvasive measurement tools are available for rosacea assessment and therapy monitoring, but a comprehensive overview is lacking. What does this study add? Seventy‐eight publications were included, describing 14 imaging and biophysical tools, providing a wide range of information about rosacea skin morphology and functionality. Reflectance confocal microscopy and spectrometry are especially promising in therapy monitoring and skin barrier measurements for rosacea severity assessment. Larger studies with better methodological quality are needed to create validated protocols for implementation into research.

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Inflammatory Diseases

Liu¹,

Zou²

2022

Practical Dermoscopy

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Granulomatous rosacea: a case report

Cited by 10 publications

References 7 publications

Definition of videodermoscopic features of demodicosis

Definition of videodermoscopic features of demodicosis

Noninvasive objective skin measurement methods for rosacea assessment: a systematic review

Inflammatory Diseases

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