Dermoscopy Update: Review of its Extradiagnostic and Expanding Indications and Future Prospects
Keywords:
dermoscopy, trichoscopy, onychoscopy, clinico-dermoscopic correlation, dermatopathology-dermoscopic correlation, teledermoscopyAbstract
The technique of dermoscopy has come a long way since its inception for characterization of suspicious nevi for early detection of dysplastic changes in predisposed individuals. Not only has its scope expanded to aid in quick diagnosis of a majority of nonmelanocytic disorders of the skin, hair, and nails, but it is being rightfully exploited for a plethora of nondiagnostic uses. Its use in the diagnosis of various pigmentary, papulosquamous, and infectious disorders and disorders of the scalp and hair, nails, and mucosa bears testimony to the ongoing expansion of its protean indications across skin types. Dermoscopy has transformed the conventional approach to dermatological diagnosis from clinicopathological correlation to clinico-dermoscopic-pathological correlation. It aids in convincing an otherwise reluctant patient to agree to biopsy and guides the selection of optimum site for the same. Dermoscopic clues suggestive of stability or activity of the lesion and/or disease in various dermatoses are being accrued. Early assessment of therapeutic response to treatment is helpful for physicians, patients, and researchers conducting clinical studies. Aesthetic uses of dermoscopy are opulent and being explored. Dermoscopy has also provided the much-needed balancing act of interaction between practitioners and the new generation of patients. Last but not the least, dermoscopy has resulted in patients’ better understanding of their disorders and improved compliance with treatment protocols.
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3. Watanabe S, Sawada M, Dekio I, Ishizaki S, Fujibayashi M, Tanaka M. Chronologyof lichen planus-like keratosis features by dermoscopy: a summary of 17 cases.Dermatol Pract Concept. 2016;6(2):29-35.
4. Mirmirani P, Willey A, Headington JT, Stenn K, McCalmont TH, Price VH. Primary cicatricial alopecia: histopathologic findings do not distinguish clinical variants. J Am Acad Dermatol. 2005 Apr;52(4):637-43.
5. Thakur BK, Verma S, Raphael V. Clinical, Trichoscopic, and HistopathologicalFeatures of Primary Cicatricial Alopecias: A Retrospective Observational Study ata Tertiary Care Centre of North East India. Int J Trichology. 2015;7(3):107-12.
6. Ankad BS, Beergouder SL, Moodalgiri VM. Lichen planopilaris versus discoidlupus erythematosus: a trichoscopic perspective. Int J Trichology. 2013;5(4):204-7.
7. Galvez A, Sperling L. Lichen planopilaris and frontal fibrosing alopecia cannot be differentiated by histopathology. J CutanPathol. 2018 Jan 25. Do:10.1111/cup.13112. [Epub ahead of print].
8. Trotter MJ, Au S, Naert KA. Practical Strategies to Improve the ClinicalUtility of the Dermatopathology Report. Arch Pathol Lab Med. 2016;140(8):759-65.
9. Miteva M, Tosti A. Dermoscopy guided scalp biopsy in cicatricial alopecia. J Eur Acad Dermatol Venereol2013;27:1299-303.
10. Lacarrubba F, Micali G, Tosti A. Scalp dermoscopy or trichoscopy. CurrProbl Dermatol. 2015;47:21-32.
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13. Bet DL, Reis AL, Di Chiacchio N, Belda Junior W. Dermoscopy and Onychomycosis: guided nail abrasion for mycological samples. An Bras Dermatol 2015;90:904-6.
14. Merkel EA, Amin SM, Lee CY, Rademaker AW, Yazdan P, Martini MC, et al. The utility of dermoscopy-guided histologic sectioning for the diagnosis of melanocytic lesions: A case-control study. J Am Acad Dermatol 2016;74:1107-13.
15. Haspeslagh M, Hoorens I, Degryse N, De Wispelaere I, Degroote A, Van Belle S, Verboven J, Vossaert K, Facchetti F, Van Dorpe J, De Schepper S, Brochez L. Pathologic Evaluation of Skin Tumors With Ex Vivo Dermoscopy With Derm Dotting. JAMA Dermatol. 2016 Dec 28. [Epub ahead of print].
16. Jha AK, Sonthalia S, Lallas A, Chaudhary RKP. Dermoscopy in vitiligo:diagnosis and beyond. Int J Dermatol. 2018 Jan;57(1):50-54.
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18. Jha AK, Sonthalia S, Lallas A, Chaudhary RKP. Post-graft trichrome andManchurian gravy signs on dermoscopy can predict disease activity in vitiligolesions post-skin grafting. Int J Dermatol. 2018 Nov;57(11):e144-e145.
19. Toledo-Pastrana T, Hernández MJ, Camacho Martínez FM. Perifollicular erythema as a trichoscopy sign of progression in frontal fibrosing alopecia. Int J Trichology. 2013;5(3):151-3.
20. Lis-Święty A, Miziołek B, Ranosz-Janicka I, Bierzyńska-Macyszyn G, Brzezińska-Wcisło L. Thermal imaging and dermoscopy for detecting inflammation in frontal fibrosing alopecia. J Cosmet Dermatol. 2017 Jul 20. [Epub ahead of print]
21. Sonthalia S, Jha AK, Tiwary PK. A Dermoscopic Diagnosis and Activity Evaluation of Frontal Fibrosing Alopecia in an Indian Lady. Indian Dermatol Online J 2017;8:162-3.
22. Caresana G, Giardini R. Dermoscopy-guided surgery in basal cell carcinoma. J Eur Acad Dermatol Venereol2010;24:1395-9.
23. Suzuki HS, Serafini SZ, Sato MS. Utility of dermoscopy for demarcation of surgical margins in Mohs micrographic surgery. An Bras Dermatol 2014;89:38-43.
24. Jain N, Doshi B, Khopkar U. Trichoscopy in alopecias: diagnosis simplified. Int J Trichology 2013;5:170-8.
25. Kibar M, Aktan Ş, Lebe B, Bilgin M. Trichoscopic findings in alopecia areata and their relation to disease activity, severity and clinical subtype in Turkish patients. Australas J Dermatol. 2015;56(1):e1-6.
26. Ganjoo S, Thappa DM. Dermoscopic evaluation of therapeutic response to an intralesional corticosteroid in the treatment of alopecia areata. Indian J Dermatol VenereolLeprol. 2013;79(3):408-17.
27. Sonthalia S, Kaur T, Srivastava S. Monitoring of therapeutic response and other applications. In: Lallas A, Errichetti E, Ioannides D, eds: Dermoscopy in General Dermatology. Boca Raton, FL: CRC Press; 2018:325-329.
28. Sonthalia S, Vedamurthy M, Thomas M, Goldust M, Srivastava S, Aggarwal I. Modified Phenol peels for treatment-refractory hyperpigmentation of Lichen planus pigmentosus: A retrospective clinico-dermoscopic analysis. J Cosmetic Dermatol [In Press].
29. Kong SH, Suh HS, Choi YS. Treatment of Melasma with Pulsed-Dye Laser and1,064-nm Q-Switched Nd:YAG Laser: A Split-Face Study. Ann Dermatol. 2018Feb;30(1):1-7.
30. Carbotti M, Coppola R, Zanframundo S, Devirgiliis V, Panasiti V. Efficacy ofIngenolMebutate in the Treatment of Actinic Keratoses: A Pre- and Posttreatment Dermoscopic Comparative Analysis. Biomed Res Int. 2018 Aug 29;2018:4381019. doi: 10.1155/2018/4381019.
31. Lacarrubba F, Nasca MR, Verzì AE, Micali G. A novel topical agent in thetreatment of seborrheic keratoses: A proof of concept study by clinical anddermoscopic evaluation. Dermatol Ther. 2017 Sep;30(5). doi: 10.1111/dth.12526.Epub 2017 Aug 10.
32. Jha AK, Udayan UK, Roy PK, Amar AKJ, Chaudhary RKP. Original article:Platelet-rich plasma with microneedling in androgenetic alopecia along withdermoscopic pre- and post-treatment evaluation. J Cosmet Dermatol. 2018Jun;17(3):313-318.
33. Husein-ElAhmed H, Fernandez-Pugnaire MA. Dermatoscopy-guided therapy ofpigmented basal cell carcinoma with imiquimod. An Bras Dermatol. 2016Nov-Dec;91(6):764-769.
34. AimiliosLallas, Giuseppe Argenziano, Iris Zalaudek, ZoeApalla, Marco Ardigo, Patricia Chellini, et al. Dermoscopichemorrhagic dots: an early predictor of response of psoriasis to biologic agents. Dermatol Pract Concept. 2016 Oct; 6(4): 7–12.
35. Osman MAR, Kassab AN. Carbon dioxide laser versus erbium:YAG laser intreatment of epidermal verrucous nevus: a comparative randomized clinical study. J Dermatolog Treat. 2017 Aug;28(5):452-457.
36. Mun JH, Park JM, Song M, Jwa SW, Kim HS, Ko HC, Kim BS, Kim MB. The use ofdermatoscopy to monitor therapeutic response of Bowen disease: a dermatoscopicpathological study. Br J Dermatol. 2012 Dec;167(6):1382-5.
37. Corazza M, Maietti E, Toni G, Virgili A, Borghi A. Combining topical tretinoinwith mometasone furoate in the treatment of vulvar lichen sclerosus: Results ofdermoscopic assessment. Dermatol Ther. 2018 Oct 17:e12735.
38. Wang LM, Lu WJ, Yuan JT, Zeng BB, Li D, Zhang F, Li JJ. Utility of dermoscopy for evaluating the therapeutic efficacy of tacrolimus ointment plus 308-nmexcimer laser combination therapy in localized vitiligo patients. Exp Ther Med.2018 Apr;15(4):3981-3988.
39. Ormiga P, Ishida CE, Boechat A, Ramos-E-Silva M. Comparison of the effect ofdiode laser versus intense pulsed light in axillary hair removal. Dermatol Surg. 2014 Oct;40(10):1061-9.
40. Dinsdale G, Murray A, Moore T, Ferguson J, Wilkinson J, Richards H, Griffiths CE, Herrick AL. A comparison of intense pulsed light and laser treatment oftelangiectases in patients with systemic sclerosis: a within-subject randomizedtrial. Rheumatology (Oxford). 2014 Aug;53(8):1422-30.
41. Micali G, Lacarrubba F, Tedeschi A. Videodermatoscopy enhances the ability to monitor efficacy of scabies treatment and allows optimal timing of drugapplication. J Eur Acad Dermatol Venereol. 2004 Mar;18(2):153-4.
42. Apalla Z, Lallas A, Tzellos T, Sidiropoulos T, Lefaki I, TrakatelliM,et al. Applicability of dermoscopy for evaluationof patients' response to nonablative therapies for the treatment of superficialbasal cell carcinoma. Br J Dermatol. 2014 Apr;170(4):809-15.
43. Koblenzer CS. Body dysmorphic disorder in the dermatology patient. ClinDermatol. 2017 May - Jun;35(3):298-301.
44. Kuhn H, Cunha PR, Matthews NH, Kroumpouzos G. Body dysmorphic disorder in the cosmetic practice. G Ital Dermatol Venereol. 2018 Aug;153(4):506-515.
45. Scherrer MA, de Castro LP, Rocha VB, Pacheco L. [The dermatoscopy in the skin pathergy testing: case series in patients with suspected Behçet's Disease]. Rev Bras Reumatol2014;54:494-8.
46. Micali G, Dall'Oglio F, Verzì AE, Luppino I, Bhatt K, Lacarrubba F. Treatment of erythemato-telangiectatic rosacea with brimonidine alone or combined withvascular laser based on preliminary instrumental evaluation of the vascularcomponent. Lasers Med Sci. 2018 Aug;33(6):1397-1400.
47. Huang Y, Zhuo F, Li L. Enhancing hair growth in male androgenetic alopecia by a combination of fractional CO(2) laser therapy and hair growth factors. LasersMed Sci. 2017 Nov;32(8):1711-1718.
48. Fabbrocini G, Panariello L, DE Padova MP, Lorenzi S, Caro G, Marasca C, Russo G. Efficacy and tolerability of a spray product containing hydroxypropylchitosan, climbazole and piroctone olamine, applied twice weekly for thetreatment of the pitiriasis versicolor. G Ital Dermatol Venereol. 2017Dec;152(6):565-568.
49. Grippaudo FR, Di Russo PP. Effects of topical application of B-Resorcinol and Glycyrrhetinic acid monotherapy and in combination with fractional CO(2) lasertreatment for benign hand hyperpigmentation treatment. J Cosmet Dermatol. 2016Dec;15(4):413-419.
50. Sidharth S, Rahul A, Rashmi S. Cosmetic Warts: Pseudo-Koebnerization of Warts after Cosmetic Procedures for Hair Removal. J Clin Aesthet Dermatol. 2015Jul;8(7):52-6.
51. Isik B, Gurel MS, Erdemir AT, Kesmezacar O. Development of skin aging scale byusingdermoscopy. Skin Res Technol. 2013 May;19(2):69-74.
52. Mostafa WZ, Kadry DM, Mohamed EF. The effects of normobaric oxygen therapy on patients with periorbital darkening: An open, uncontrolled trial. Indian J Dermatol VenereolLeprol. 2015 Jul-Aug;81(4):427-9.
53. Uhoda E, Piérard-Franchimont C, Petit L, Piérard GE. The conundrum of skinpores in dermocosmetology. Dermatology. 2005;210(1):3-7.
54. Kim BY, Choi JW, Park KC, Youn SW. Sebum, acne, skin elasticity, and genderdifference - which is the major influencing factor for facial pores? Skin ResTechnol. 2013 Feb;19(1):e45-53.
55. Mohamed EE, Ahmed AM, Tawfik KM, Ibrahim SM. Trichoscopic changes in hairduring treatment of hirsutism with 1064-nm neodymium:yttrium-aluminum-garnetlaser. J Cosmet Dermatol. 2016 Mar;15(1):31-5.
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Published
2019-10-31
Issue
Section
Review
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Dermatology Practical & Conceptual applies a Creative Commons Attribution License (CCAL) to all works we publish (http://creativecommons.org/licenses/by-nc/4.0/). Authors retain the copyright for their published work.
How to Cite
1.
Sonthalia S, Pasquali P, Agrawal M, et al. Dermoscopy Update: Review of its Extradiagnostic and Expanding Indications and Future Prospects. Dermatol Pract Concept. 2019;9(4):253-264. doi:10.5826/dpc.0904a02
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