Features of dermatofibroma in reflectance confocal microscopy

Background Dermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear. Objectives Reflectance confocal microscopy features of DF were described. Methods Forty patients with DF diagnosis confirmed by dermoscopy wer...

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Veröffentlicht in:	International journal of dermatology Jg. 59; H. 8; S. 951 - 954
Hauptverfasser:	Pogorzelska‐Antkowiak, Anna, Wcisło‐Dziadecka, Dominika, Brzezińska‐Wcisło, Ligia, Pawlicki, Krzysztof, Antkowiak, Ryszard, Corneli, Paola
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Hoboken Blackwell Publishing Ltd 01.08.2020
Schlagworte:	Confocal microscopy Dendritic cells Dermoscopy Epidermis Etiology Lesions Limbs Microscopes Microscopy Nevi Papillae Reflectance Skin diseases Skin lesions Streaming Vessels
ISSN:	0011-9059, 1365-4632, 1365-4632
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Abstract	Background Dermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear. Objectives Reflectance confocal microscopy features of DF were described. Methods Forty patients with DF diagnosis confirmed by dermoscopy were examined using reflectance confocal microscopy VivaScope 1500 from March 2018 to April 2019. Results DF was more common in females (80%) than males (20%). Thirty‐six lesions (90%) were located on the limbs while four (10%) were on the trunk. Dermoscopically, 18 lesions (45%) revealed typical features: central white area with a brown network in the periphery. Twenty‐two DFs (55%) were found with a central white patch and globular‐like structures, surrounded by a thin brown network. In reflectance confocal microscopy, all revealed a typical honeycombed pattern, although in some cases (30%), streaming was observed. In two lesions (5%) in epidermis, few dendritic cells were observed, and one DF revealed roundish pagetoid cells (2.5%). The dermoepidermal junction (DEJ) in all lesions was abounded in dilated vessels. The most common observable feature of DF was bright “rings” composed of monomorphic, regular cells surrounding dark dermal papillae. In five lesions (12.5%), rings were “double” because of exceptionally pigmented DF. Conclusion Reflectance confocal microscopy enables us to describe microscopic features of DF. There are four confocal microscopic features observable in each DF: in the epidermis, normal honeycombed pattern, sometimes with local streaming, in DEJ, edged papillae, bright rings, and dilated vessels.
AbstractList	BackgroundDermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear.ObjectivesReflectance confocal microscopy features of DF were described.MethodsForty patients with DF diagnosis confirmed by dermoscopy were examined using reflectance confocal microscopy VivaScope 1500 from March 2018 to April 2019.ResultsDF was more common in females (80%) than males (20%). Thirty‐six lesions (90%) were located on the limbs while four (10%) were on the trunk. Dermoscopically, 18 lesions (45%) revealed typical features: central white area with a brown network in the periphery. Twenty‐two DFs (55%) were found with a central white patch and globular‐like structures, surrounded by a thin brown network. In reflectance confocal microscopy, all revealed a typical honeycombed pattern, although in some cases (30%), streaming was observed. In two lesions (5%) in epidermis, few dendritic cells were observed, and one DF revealed roundish pagetoid cells (2.5%). The dermoepidermal junction (DEJ) in all lesions was abounded in dilated vessels. The most common observable feature of DF was bright “rings” composed of monomorphic, regular cells surrounding dark dermal papillae. In five lesions (12.5%), rings were “double” because of exceptionally pigmented DF.ConclusionReflectance confocal microscopy enables us to describe microscopic features of DF. There are four confocal microscopic features observable in each DF: in the epidermis, normal honeycombed pattern, sometimes with local streaming, in DEJ, edged papillae, bright rings, and dilated vessels. Background Dermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear. Objectives Reflectance confocal microscopy features of DF were described. Methods Forty patients with DF diagnosis confirmed by dermoscopy were examined using reflectance confocal microscopy VivaScope 1500 from March 2018 to April 2019. Results DF was more common in females (80%) than males (20%). Thirty‐six lesions (90%) were located on the limbs while four (10%) were on the trunk. Dermoscopically, 18 lesions (45%) revealed typical features: central white area with a brown network in the periphery. Twenty‐two DFs (55%) were found with a central white patch and globular‐like structures, surrounded by a thin brown network. In reflectance confocal microscopy, all revealed a typical honeycombed pattern, although in some cases (30%), streaming was observed. In two lesions (5%) in epidermis, few dendritic cells were observed, and one DF revealed roundish pagetoid cells (2.5%). The dermoepidermal junction (DEJ) in all lesions was abounded in dilated vessels. The most common observable feature of DF was bright “rings” composed of monomorphic, regular cells surrounding dark dermal papillae. In five lesions (12.5%), rings were “double” because of exceptionally pigmented DF. Conclusion Reflectance confocal microscopy enables us to describe microscopic features of DF. There are four confocal microscopic features observable in each DF: in the epidermis, normal honeycombed pattern, sometimes with local streaming, in DEJ, edged papillae, bright rings, and dilated vessels. Dermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear.BACKGROUNDDermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear.Reflectance confocal microscopy features of DF were described.OBJECTIVESReflectance confocal microscopy features of DF were described.Forty patients with DF diagnosis confirmed by dermoscopy were examined using reflectance confocal microscopy VivaScope 1500 from March 2018 to April 2019.METHODSForty patients with DF diagnosis confirmed by dermoscopy were examined using reflectance confocal microscopy VivaScope 1500 from March 2018 to April 2019.DF was more common in females (80%) than males (20%). Thirty-six lesions (90%) were located on the limbs while four (10%) were on the trunk. Dermoscopically, 18 lesions (45%) revealed typical features: central white area with a brown network in the periphery. Twenty-two DFs (55%) were found with a central white patch and globular-like structures, surrounded by a thin brown network. In reflectance confocal microscopy, all revealed a typical honeycombed pattern, although in some cases (30%), streaming was observed. In two lesions (5%) in epidermis, few dendritic cells were observed, and one DF revealed roundish pagetoid cells (2.5%). The dermoepidermal junction (DEJ) in all lesions was abounded in dilated vessels. The most common observable feature of DF was bright "rings" composed of monomorphic, regular cells surrounding dark dermal papillae. In five lesions (12.5%), rings were "double" because of exceptionally pigmented DF.RESULTSDF was more common in females (80%) than males (20%). Thirty-six lesions (90%) were located on the limbs while four (10%) were on the trunk. Dermoscopically, 18 lesions (45%) revealed typical features: central white area with a brown network in the periphery. Twenty-two DFs (55%) were found with a central white patch and globular-like structures, surrounded by a thin brown network. In reflectance confocal microscopy, all revealed a typical honeycombed pattern, although in some cases (30%), streaming was observed. In two lesions (5%) in epidermis, few dendritic cells were observed, and one DF revealed roundish pagetoid cells (2.5%). The dermoepidermal junction (DEJ) in all lesions was abounded in dilated vessels. The most common observable feature of DF was bright "rings" composed of monomorphic, regular cells surrounding dark dermal papillae. In five lesions (12.5%), rings were "double" because of exceptionally pigmented DF.Reflectance confocal microscopy enables us to describe microscopic features of DF. There are four confocal microscopic features observable in each DF: in the epidermis, normal honeycombed pattern, sometimes with local streaming, in DEJ, edged papillae, bright rings, and dilated vessels.CONCLUSIONReflectance confocal microscopy enables us to describe microscopic features of DF. There are four confocal microscopic features observable in each DF: in the epidermis, normal honeycombed pattern, sometimes with local streaming, in DEJ, edged papillae, bright rings, and dilated vessels.
Author	Brzezińska‐Wcisło, Ligia Wcisło‐Dziadecka, Dominika Pawlicki, Krzysztof Antkowiak, Ryszard Pogorzelska‐Antkowiak, Anna Corneli, Paola
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Snippet	Background Dermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still unclear.... BackgroundDermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still... Dermatofibroma (DF) is a common benign skin lesion in a majority of cases located on the legs or upper limbs. The etiology of DF is still...
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SubjectTerms	Confocal microscopy Dendritic cells Dermoscopy Epidermis Etiology Lesions Limbs Microscopes Microscopy Nevi Papillae Reflectance Skin diseases Skin lesions Streaming Vessels
Title	Features of dermatofibroma in reflectance confocal microscopy
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