Clinical and Dermatoscopic Features of Seborrheic Keratoses According to Skin Types: A Retrospective Study

Clinical and Dermatoscopic Features of Seborrheic Keratoses According to Skin Types: A Retrospective Study

Authors

  • Sadia Ammad Dermatology Department, Ashford and St Peter's NHS Trust, St Peter's Hospital, Guildford Road, Chertsey, Surrey, KT16 0PZ, United Kingdom.
  • Gaetano Licata a:1:{s:5:"en_US";s:34:"Università degli Studi di Brescia";}
  • Gabriella Brancaccio Dermatology Unit, Department of Mental and Physical Health and Preventive medicine, University of Campania Luigi Vanvitelli, Naples, Italy
  • Elvira Moscarella Dermatology Unit, Department of Mental and Physical Health and Preventive medicine, University of Campania Luigi Vanvitelli Naples, Italy.
  • Giuseppe Argenziano Dermatology Unit, Department of Mental and Physical Health and Preventive medicine, University of Campania Luigi Vanvitelli Naples, Italy.

Keywords:

seborrhoeic keratosis, dermoscopy, skin type

Abstract

Introduction: Seborrheic keratoses (SK), are very common benign skin lesions, which may increase in number and size with age.

Objective: The aim of the study was to assess any differences seen in seborrheic keratoses in relation to different skin types (ST) and lesion location.

Methods: This was a retrospective observational study of 10-months period, based on dermoscopic images of seborrheic keratoses and patient history recorded in database. Patients were categorized according to their age, sex, skin type, and location of SK.

Results: The frequency of SK remained high on the back for skin type 1, 2, 3 and 4. This same trend was also seen on the face and chest.  In skin type 3 we saw a reversal of distribution of SK, the highest frequency remained on the back, and this was followed by the chest rather than the face. In skin type 5 and 6, the nature of the distribution of SK was more facial,

Conclusions:  In summary our study shows that SK are more commonly seen in males than in females, they tend to dominate in sun exposed sites especially the back and the face. Both the smaller and larger sized SK dominated in ST 1 and 2. The lighter to darker shades of colour seen in seborrheic keratoses varied in accordance with the skin type, with lighter coloured SK being seen more in lighter skin types as compared to darker skin types, whereas bluish coloured SK were seen in all skin types except ST 1.

References

Changchien L, Dusza SW, Agero AL, et al. Age- and site-specific variation in the dermoscopic patterns of congenital melanocytic nevi: an aid to accurate classification and assessment of melanocytic nevi. Arch Dermatol. 2007;143(8):1007-1014. DOI: 10.1001/archderm.143.8.1007. PMID: 17709659.

Memon AA, Tomenson JA, Bothwell J, Friedmann PS. Prevalence of solar damage and actinic keratosis in a Merseyside population. Br J Dermatol. 2000;142(6):1154-1159. DOI: 10.1046/j.1365-2133.2000.03541.x. PMID: 10848739.

Moscarella E, Brancaccio G, Briatico G, Ronchi A, Piana S, Argenziano G. Differential Diagnosis and Management on Seborrheic Keratosis in Elderly Patients. Clin Cosmet Investig Dermatol. 2021;14:395-406. DOI: 10.2147/CCID.S267246. PMID: 33953590. PMCID: PMC8088980.

Yeatman JM, Kilkenny M, Marks R. The prevalence of seborrhoeic keratoses in an Australian population: does exposure to sunlight play a part in their frequency? Br J Dermatol. 1997;137(3):411-414. PMID: 9349339.

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Published

2023-10-31

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Section

Original Article

How to Cite

1.
Clinical and Dermatoscopic Features of Seborrheic Keratoses According to Skin Types: A Retrospective Study. Dermatol Pract Concept [Internet]. 2023 Oct. 31 [cited 2024 Dec. 9];13(4):e2023253. Available from: https://dpcj.org/index.php/dpc/article/view/2624

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