Dermoscopic features of solar lentigo, seborrheic keratosis and lichen planus-like keratosis: an expert consensus statement
10.35541/cjd.20190480
- VernacularTitle: 日光性雀斑样痣、脂溢性角化病及扁平苔藓样角化病皮肤镜特征专家共识
- Collective Name:National Clinical Research Center for Skin and Immune Diseases;Huaxia Skin Image and Artificial Intelligence Cooperation, China International Exchange and Promotion Association for Medical and Healthcare;Skin Imaging Group, Dermatology Branch of China International Exchange and Promotion Association for Medical and Healthcare;Skin Imaging Group, Combination of Traditional and Western Medicine Dermatology;Subcommittee on Dermatologic Surgery, China Dermatologist Association;Skin Imaging Group (Preparing), Chinese Society of Dermatology;Skin Imaging Equipment Group, Committee on Skin Disease and Cosmetic Dermatology, China Association of Medical Equipment;Dermatology Committee, National Telemedicine and Connected Health Center;Dermatology Committee, China Medical Equipment Artificial Intelligence Alliance;Committee on Skin Diseases and Skin Aging Prevention, Geriatrics Branch of China Association of Gerontology and Geriatrics
- Publication Type:Guideline
- Keywords:
Dermoscopy;
Keratosis, seborrheic;
Solar lentigo;
Diagnosis;
Guidelines;
Lichen planus-like keratosis
- From:
Chinese Journal of Dermatology
2019;52(12):878-883
- CountryChina
- Language:Chinese
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Abstract:
Solar lentigo, seborrheic keratosis, and lichen planus-like keratosis are common benign epidermal proliferative diseases. To recognized their dermoscopic characteristics is helpful in many clinical aspects, such as making clear diagnoses, differentiating from other skin neoplasms, avoiding unnecessary biopsies or surgeries, and real-time monitoring of lesion changes. This consensus summarizes the dermoscopic characteristics of the 3 diseases. The dermoscopic features of solar lentigo include sharply demarcated borders, moth-eaten borders, faint pigment network, fingerprint-like areas, homogeneous brown pattern, pseudonetwork. The dermoscopic features of seborrheic keratosis are sharply demarcated borders, milia-like cysts, comedo-like openings, cerebriform pattern, hairpin blood vessels, moving en bloc in the wobble test. The dermoscopic features of lichen planus-like keratosis are pepper-like dots/granules, which may be surrounded by features of solar lentigo, seborrheic keratosis or actinic keratosis.