White rosette in discoid lupus erythematosus: a new dermoscopic observation

White rosette in discoid lupus erythematosus: a new dermoscopic observation

Authors

  • Balachandra S. Ankad Department of Dermatology, S. Nijalingappa Medical College, Karnataka, India
  • Swapnil D. Shah Skin and Laser Clinic, Solapur, India
  • Keshavmurthy A. Adya BLDE University’s Shri M B Patil Medical College, Vijayapura, India

Keywords:

white rosette, discoid lupus erythematosus, dermoscopy

Abstract

White rosettes are shiny white structures seen as four oval-shaped points that come together in the center. They resemble four-leaf clover [1]. Earlier it was thought they were specific for actinic keratosis and squamous cell carcinoma, but they are noted in many other conditions [2]. With polarized light dermoscopy, it is evident that rosettes are seen only and they are due to the optical effect between polarized light and follicular structures [3]. Here, authors describe cases of discoid lupus erythematosus (DLE) demonstrating rosettes under polarized dermoscopy.

Author Biographies

Balachandra S. Ankad, Department of Dermatology, S. Nijalingappa Medical College, Karnataka, India

Dermatology,

Professor

Keshavmurthy A. Adya, BLDE University’s Shri M B Patil Medical College, Vijayapura, India

Dermatology,

Associate Professor

References

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Liebman TN, Rabinovitz HS, Dusza SW, Marghoob AA. Rosettes may be observed in a range of conditions. Arch Dermatol 2011; 147: 1468. PMID: 22184782

Haspeslagh M, Noe M, De Wispelaere I, Degryse N, Vossaert K, Lanssens S, et al. Rosettes and other white shiny structures in polarized dermoscopy: histological correlate and optical explanation. J Eur Acad Dermatol Venereol. 2016 Feb; 30(2):311-3. PMID: 25786770.

Gonzalez-Alvarez T, Armengot-Carbo M, Barriero A, Alarcon I, Carrera C, Garcıa A, et al. Dermatoscopic rosettes as a clue for pigmented incipient melanoma. Dermatology 2014; 228: 31–33. PMID: 24356536

Marques-da-Costa J, Campos-do-Carmo G, Ormiga P, Ishida CE, Cuzzi T, Ramos-e-Silva M: Rosette sign in dermatoscopy: a polarized finding. Skinmed 2011; 9: 392. PMID: 22256632

Weedon D. The lichenoid reaction pattern. In: Weedon D, Strutton G. (editors). Skin Pathology. 2nd edn, Elsevier; China: 2002. P 31-74.

Liebman TN, Rabinovitz HS, Balagula Y, Jaimes-Lopez N, Marghoob AA. White shiny structures: dermoscopic features revealed under polarized light. J Eur Acad Dermatol Venereol 2012; 26: 1493–1497. PMID: 22035217

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Published

2017-10-31

Issue

Section

Observation

How to Cite

1.
Ankad BS, Shah SD, Adya KA. White rosette in discoid lupus erythematosus: a new dermoscopic observation. Dermatol Pract Concept. 2017;7(4):9-11. doi:10.5826/dpc.0704a03

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