单位:[1]Department of Dermatology, The Second Affiliated Hospital, Anhui Medical University, Hefei, China[2]Department of Dermatology, China-Japan Friendship Hospital, Beijing, China,[3]Institute of Skin Health, China-Japan Friendship Hospital, Beijing, China[4]Graduate School, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China, [5]Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen, China北京大学深圳医院深圳市康宁医院深圳医学信息中心[6]Shenzhen Key Laboratory for Translational Medicine of Dermatology, Shenzhen Peking University–The Hong Kong University of Science and Technology Medical Center, Shenzhen, China[7]Department of Dermatology, Chengdu Second People’s Hospital, Chengdu, China, [8]Division of Molecular Medicine, Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, United States
Objective: Dermoscopic features of cutaneous vascular anomalies have been reported, but the described features currently known are limited and not well-understood. The aim of this study is to comprehensively summarize and compare the dermoscopic features of the four different types of cutaneous vascular anomalies [infantile hemangiomas (IH), cherry angioma (CA), angiokeratomas (AK), and pyogenic granuloma (PG)] in the Chinese Han population. Materials and Methods: Dermoscopic features of 31 IH, 172 CA, 31 AK, and 45 PG were collected based on the contact non-polarized mode of dermoscopy at 20-fold magnification. Dermoscopic features including background, lacunae, vessel morphology and distribution were collected and summarized. Additionally, we compared these features by age stage, gender, and anatomical locations in CA. Results: The dermoscopic features of IH included the red lacunae, red/red-blue/red-white backgrounds, and vessel morphology such as linear curved vessels, serpiginous vessels, coiled vessels. For CA, the lacunae appeared reddish brown to reddish blue or only red. In terms of vascular morphology, serpentine vessels, coiled vessels, looped vessels, and curved vessels could be seen in the lesions. A few lesions were black or presented with a superficial white veil. There were statistical differences in red background (P = 0.021), unspecific vessel distribution (P = 0.030), black area (P = 0.029), and white surface (P = 0.042) among different age groups. Red-brown lacunae (P = 0.039), red-blue (P = 0.013), red-white background (P = 0.015), black area (P = 0.016), and white surface (P = 0.046) were of statistical difference in terms of the locations of lesions. Lacunae were also observed in AK, which presented with red, dark purple, dark blue, black. Global dermoscopic patterns that were characterized by a homogeneous area were obvious in all PG lesions, among which 30 (66.7%) were red-white and 15 (33.3%) were red. As for local features, "white rail" lines were detected in 19 (42.2%) lesions and white collarette was seen in 34 (75.6%) lesions. Conclusions: Dermoscopy is an applicable diagnostic tool for the diagnosis of cutaneous vascular anomalies. It is necessary to take into account the age stage and lesion location when we diagnose CA using dermoscopy.
基金:
Research Fund of Anhui Medical University [2018xkj040]; Milstein Medical Asian American Partnership Foundation Research Project [MMAAP2016023]; Natural Science Foundation of Anhui ProvinceNatural Science Foundation of Anhui Province [2008085QH427]; Research Foundation of Peking University Shenzhen Hospital [JCYJ2020004]
第一作者单位:[1]Department of Dermatology, The Second Affiliated Hospital, Anhui Medical University, Hefei, China
共同第一作者:
通讯作者:
通讯机构:[2]Department of Dermatology, China-Japan Friendship Hospital, Beijing, China,[3]Institute of Skin Health, China-Japan Friendship Hospital, Beijing, China[4]Graduate School, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China,
推荐引用方式(GB/T 7714):
Jing Gao,Wenmin Fei,Changbing Shen,et al.Dermoscopic Features Summarization and Comparison of Four Types of Cutaneous Vascular Anomalies[J].FRONTIERS in MEDICINE.2021,8:doi:10.3389/fmed.2021.692060.
APA:
Jing Gao,Wenmin Fei,Changbing Shen,Xue Shen,Minghui Sun...&Chunjun Yang.(2021).Dermoscopic Features Summarization and Comparison of Four Types of Cutaneous Vascular Anomalies.FRONTIERS in MEDICINE,8,
MLA:
Jing Gao,et al."Dermoscopic Features Summarization and Comparison of Four Types of Cutaneous Vascular Anomalies".FRONTIERS in MEDICINE 8.(2021)