Compendium of Surface Microscopic and Dermoscopic Features

by Paech, Volker; Schulz, Hans; Argenyi, Zsolt; Gambichler, Thilo; Altmeyer, Peter

• ISBN13: 9783540789727
• ISBN10: 3540789723
• Edition: 1st
• Format: Hardcover
• Copyright: 2008-09-01
• Publisher: Springer Verlag

Summary

"New technological approaches in dermatologic diagnostics, such as surface microscopy and dermoscopy, are continuously advancing. Anatomical structures can be viewed like never before. Through these new techniques the necessity of a new terminology and a new set of dermoscopic criteria has come up. So far, many different and sometimes confusing terms have been used in designating these microscopic features. However, the daily challenge physicians face when evaluating skin lesions acquires immediate access to the current dermoscopic nomenclature and definition. This unique guide provides a comprehensive, current, and accurate A-Z encyclopaedia to clarify the meaning of surface microscopic and dermoscopic terminology including a broad range of both melanocytic and non-melanocytic skin lesions. It will support dermatologists, histopathologists and all other physicians in charge of a biopsy and excision decision."--BOOK JACKET.

Table of Contents

	p. 1
ABCD Rule of Dermoscopy	p. 1
ABC Point List of Dermoscopy	p. 1
Abrupt Cut-off of the Trabeculae	p. 2
Abrupt Edge	p. 2
Abrupt Pigment Breaks in the Trabeculae	p. 2
Acantholysis	p. 2
Acanthoma	p. 2
Acanthosis	p. 2
Accessory Nipple	p. 2
Acne Rosacea	p. 2
Acrolentiginous Melanoma	p. 2
Actinic Elastosis	p. 3
Actinic Keratosis	p. 3
Addison's Disease	p. 4
Agminate Melanocytic Nevus	p. 4
Alabaster-Gypseous Lacunae	p. 5
Amelanotic and Hypomelanotic Melanoma	p. 5
Amiodaron-induced Pigmentation	p. 5
Angiokeratoma	p. 6
Angioma	p. 6
Angiosarcoma	p. 6
Annular-Granular Pattern	p. 7
Apocrine Sweat Gland	p. 8
Arborizing Pattern	p. 8
Arborizing Telangiectasis	p. 8
Arborizing Vessels	p. 8
Area of Polymorphic Ectatic Vessels	p. 8
Area of Target Globules	p. 9
Area with Central Papillary Globules	p. 9
Area with Evenly Arranged Capillaries	p. 9
Asymmetrical Pigmented Follicular Openings	p. 9
Atrophy of the Epidermis	p. 9
Atypical Nevus	p. 9
Atypical Pigment Network	p. 9
Atypical Vascular Pattern	p. 10
Auspitz Sign	p. 10
Autoimmunogenic Keratinocytolysis	p. 11
AVP	p. 11
B	p. 13
Balloon Cell Nevus	p. 13
Basal Cell Carcinoma	p. 13
Basal Cell Papilloma	p. 14
Basal Layer	p. 14
Basic Pattern of Polymorphic and/or Aneurysmatic Vessels	p. 14
Basic Structures	p. 14
Bathing Trunk Nevus	p. 14
Becker's Nevus	p. 14
Benign Juvenile Melanoma	p. 14
Benign Lichenoid Keratosis	p. 14
Black Dots	p. 14
Black Heel	p. 14
Blood Lakes	p. 15
Blood Sinuses	p. 15
Blood Spots, Nail Unit	p. 15
Blotches	p. 15
Blue Nevus	p. 16
Blue-gray Area	p. 16
Blue-gray Globules in Absence of a Pigment Network	p. 16
Blue-gray Granules	p. 17
Blue-gray or Slate-gray Reticular Pattern	p. 17
Blue-gray Reticular Pattern	p. 17
Blue-in-Pink Area	p. 17
Blue-white Veil	p. 18
Border	p. 19
Bowen's Disease	p. 19
Bowenoid Genital Papulosis	p. 20
Bowen's Carcinoma	p. 20
Brain-like Appearance	p. 20
Branched Streaks	p. 20
Broadened Network	p. 21
Brown Background, Nail Unit	p. 21
Brown Dots	p. 22
Brown Globules	p. 22
Brown/Black Dots on a Blue/Gray Background	p. 22
	p. 23
Capillary Dot Pattern	p. 23
Capillary Reticular Pattern	p. 23
Capillary Sequestration	p. 23
Central Hyperpigmented Pattern	p. 23
Central Hypopigmented Pattern	p. 23
Cerebriform Appearance	p. 23
Cherry Hemangioma	p. 23
Clark's Nevus	p. 24
Chloasma	p. 24
CMN	p. 24
Cobblestone Pattern	p. 24
Cockade Architecture	p. 24
Cognetta Sign	p. 24
Collision Tumors	p. 24
Color Changes	p. 25
Combined Nevus	p. 25
Comedo-like Openings	p. 25
Comma-like-shaped Vessels	p. 26
Compound Nevus	p. 27
Congenital Hairy Nevus	p. 27
Congenital Melanocytic Nevus	p. 27
Congenital Speckled Lentiginous Nevus	p. 28
Congenital Zosteriform Speckled Lentiginous Nevus	p. 28
Corium	p. 28
Corneal Layer of the Epidermis	p. 28
Corneocyte	p. 28
Corticosteroid Side Effects	p. 28
Cotton-ball Phenomenon	p. 28
Crista Dotted Pattern	p. 28
Crista Profunda Intermedia	p. 28
Crista Profunda Limitans	p. 29
Crista Reticulated Pattern	p. 29
Crown Vessels	p. 29
Crypts	p. 30
	p. 31
Darier's Disease	p. 31
Degenerative Changes with Blue-gray Granules in the Marginal Area	p. 31
Dendritic Grayish-blue Trabeculae	p. 31
Depigmentation	p. 31
Dermal Nevus	p. 31
Dermal Papilla	p. 32
Dermatitis Herpetiformis Duhring	p. 32
Dermatofibroma	p. 32
Dermatoglyphics	p. 33
Dermatomyositis	p. 33
Dermis	p. 33
Desmoplastic Melanoma	p. 33
Desmoplastic Spitz Nevus	p. 34
Diffuse Network Pattern	p. 34
Diffuse Network with Central Globules	p. 34
Diffuse Pigmentation	p. 35
Digitiform Extrusions	p. 35
Discoid Lupus Erythematosus	p. 35
Dots	p. 35
Dotted Vessels	p. 36
Drug-induced Hyperpigmentation	p. 36
Dyskeratosis	p. 37
Dyskeratosis Follicularis	p. 37
Dyskeratosis Maligna	p. 37
Dysplastic Nevi, Basic Patterns	p. 37
Dysplastic Nevi, ELM Rating Protocol	p. 37
Dysplastic Nevus	p. 38
Dysplastic or Atypical Nevi, Dermoscopic Properties	p. 39
	p. 41
Eccentric Hyperpigmented Pattern	p. 41
Eccrine Pores	p. 41
Ehring's Rhexis Bleeding	p. 41
Elastosis	p. 42
ELM Grading Protocol	p. 42
Enhanced ABCD-E Scoring System	p. 42
Ephelis	p. 43
Epitheloid Cell Nevus	p. 44
Eruptive Hemangioma	p. 44
Erythema	p. 44
	p. 45
Facial Skin	p. 45
Fibrillar Pattern	p. 45
Fibrosis	p. 46
Fingerprint-like Structures	p. 46
Fissures and Ridges	p. 46
Follicular Plug and Opening	p. 47
Fried-egg Pattern	p. 48
	p. 49
Gray-blue Areas	p. 49
Globular Pattern	p. 49
Globules	p. 49
Glomerular Vessels	p. 50
Granular Layer	p. 51
Gray Streaks Surrounding the Lesion	p. 51
Gray-black and Blue-gray Ovoid Nests	p. 51
Gray-black Perifollicular Pigmentation	p. 52
Gray-blue Trabecular Melanophages	p. 52
Gray-blue/black Papillary Globules	p. 52
Grayish Patches	p. 52
Gyri	p. 53
Gyri and Sulci	p. 53
	p. 55
Hairpin-like-shaped Blood Vessels	p. 55
Hairpin-like-shaped Corona	p. 55
Halo Nevus	p. 55
Hang-glider Sign	p. 56
Hemangioma Senile	p. 56
Hemangiomas	p. 56
Hematolymphangioma	p. 56
Homogeneous Pattern	p. 57
Homogeneous-Globular Pattern	p. 57
Honeycomb-like Network	p. 57
Horny Layer	p. 58
Hutchinson's Sign	p. 58
Hypergranulosis	p. 58
Hyperkeratosis	p. 58
Hyperparakeratosis	p. 58
Hyperpigmentation	p. 58
Hyperplastic Sebaceous Glands	p. 59
Hypogranulosis	p. 59
Hypokeratosis	p. 59
Hypopigmentation	p. 59
	p. 61
Ink-spot Lentigo	p. 61
In-vivo Histology	p. 61
In-transit Melanoma Metastases	p. 61
Inverse Network	p. 61
Irregular Area of Slate-gray Target Globules	p. 61
Irregular Blotches	p. 61
Irregular Depigmentation	p. 61
Irregular Diffuse Pigmentation	p. 61
Irregular Dots	p. 62
Irregular Dots/Globules	p. 62
Irregular Extensions	p. 62
Irregular Linear-Polymorphous Vessels	p. 62
Irregular Network	p. 62
Irregular Pattern, Nails	p. 62
Irregular Polymorphous Vessels	p. 63
Irregular Streaks	p. 63
Irregular Vessels	p. 63
Irritated Seborrheic Keratosis	p. 63
	p. 65
Jelly Sign	p. 65
Junctional Nevus	p. 65
	p. 67
Keratinocyte	p. 67
Keratosis Actinica	p. 67
Keratosis Follicularis	p. 67
Keratosis Senilis	p. 67
Keratosis Solaris	p. 67
	p. 69
Lacunae	p. 69
Lagoon-like Structures	p. 69
Lagoons	p. 69
Large Blue-gray Ovoid Nests	p. 69
Lattice-like Pattern	p. 69
Leaf-like Areas	p. 70
Lentigo Maligna and Lentigo Maligna Melanoma	p. 71
Lentigo Senilis	p. 71
Lentigo Simplex	p. 71
Lesion Surrounded by Gray Streaks	p. 72
Leukoderma Acquisitum Centrifugum	p. 72
Lichen Planus	p. 72
Lichen Planus-like Keratosis	p. 72
Lichenoid Actinic Keratosis	p. 72
Linear-Irregular Vessels	p. 73
Liver Spot	p. 73
Lupus Erythematosus	p. 73
Lupus Erythematosus Chronicus Discoides	p. 73
Lymphangioma	p. 73
	p. 75
Malignant Melanoma	p. 75
Malignant Melanoma and Dysplastic Nevi, ELM Scoring System	p. 75
Malignant Melanoma, Cutaneous Metastases	p. 76
Malignant Melanoma Metastases: Surface Microscopy Features	p. 77
Malpighian Rete	p. 78
Maple-leaf-like Areas	p. 78
Maple-leaf-like Structures	p. 78
Marks Sign	p. 78
Melanin	p. 78
Melanin Pigmentation	p. 78
Melanocytes	p. 78
Melanocytic Algorithm for Differentiating in Pigmented Lesions	p. 78
Melanoma Cell Infarct	p. 79
Melanocytic Nevus with Irregular Architecture	p. 79
Melanodermitis	p. 79
Melanoma in Association with Melanocytic Nevus	p. 79
Melanoma with Marked Regression	p. 79
Melanophage	p. 80
Melanosis	p. 80
Melanosis Neviformis	p. 80
Melanosomes	p. 80
Melasma	p. 80
Menzies' Method	p. 80
Menzies' Sign	p. 80
Metastatic Malignant Melanoma	p. 80
Micro-Hutchinson's Sign	p. 80
Microscopic Longitudinal Grooves, Nails	p. 80
Microscopic Ovoid Blood Lakes	p. 81
Miescher's Nevus	p. 81
Milia-like Cysts	p. 81
Milky-red Areas	p. 81
Milky-red Globules	p. 82
Molluscum Contagiosum	p. 82
Moth-eaten Border	p. 82
Mountain and Valley Pattern	p. 82
Mucosal Melanocytic Macule or Papule	p. 82
Mulberry-like Aspect	p. 83
Mulberry-like Structure	p. 83
Multicomponent Pattern	p. 83
Multifocal Hyper-/Hypopigmented Pattern	p. 83
Multiple Blue-gray Dots (Granules)	p. 84
Multiple Blue-gray Globules	p. 85
Multiple Blue-gray Ovoid Nests	p. 85
Multiple Brown Dots	p. 85
Multiple Brown Globules	p. 85
Multiple Colors	p. 85
Multiple Grayish Patches	p. 86
	p. 87
Nailfold Capillaries, Alterations	p. 87
Nailfold Capillaries, Normal Structure	p. 87
Negative Network	p. 88
Neighborhood Sign	p. 88
Network Holes	p. 88
Network Irregularity	p. 88
Network Lines	p. 89
Network Patches, Dark	p. 89
Network Patches, Light	p. 89
Nevus Cell	p. 89
Nevus Spilus	p. 89
Nodular Malignant Melanoma	p. 90
Non-specific Pattern	p. 90
Normal Skin Surface	p. 90
	p. 91
Old-age Spot	p. 91
Orthokeratosis	p. 91
Ovoid Blood Lakes	p. 91
Ovoid Nests	p. 91
	p. 93
Pagetoid Malignant Melanoma	p. 93
Palms and Soles	p. 93
Papillary Layer	p. 93
Papillomatous or Dome-shaped Melanocytic Nevus	p. 93
Parakeratosis	p. 93
Parallel Furrow Pattern	p. 94
Parallel Ridge Pattern	p. 94
Parallel Striae	p. 94
Patchy Network Pattern	p. 95
Peppering	p. 95
Perifollicular Circular Gray-blue/Gray-black Pigmentation	p. 95
Perifollicular Pigment Changes	p. 95
Perifollicular Rim of Hyperpigmentation	p. 95
Peripheral Black Dots	p. 95
Peripheral Brown Dots	p. 96
Peripheral Erythema	p. 96
Peripheral Hypopigmented Pattern	p. 96
Peripheral Network with Central Hyperpigmentation	p. 96
Peripheral Network with Central Hypopigmentation	p. 96
Perivascular Melanophages	p. 97
Persistent Nevi	p. 97
Pigment Globules	p. 97
Pigment Network	p. 97
Pigmentation	p. 97
Pigmented Hairy Epidermal Nevus	p. 97
Pigmented Skin Lesions on Palms and Soles	p. 97
Pilosebaceous Unit	p. 98
Pinpoint Vessels	p. 98
Pityriasis Lichenoides	p. 98
Plaster-of-Paris-like Lacunae	p. 98
PN	p. 98
Polymorphic Angiectatic Base Pattern	p. 98
Polymorphous Vessels	p. 99
Polypoid Malignant Melanoma	p. 99
Polythelia	p. 99
Porokeratosis	p. 99
Prickle Cell Layer	p. 100
Proliferation Hyperkeratosis	p. 100
Prominent and Irregular Network	p. 100
PRP	p. 100
Pseudobroadened Network	p. 100
Pseudofollicular Openings	p. 100
Pseudohorncysts	p. 100
Pseudohorn-like Cysts	p. 100
Pseudomelanoma	p. 100
Pseudonetwork	p. 100
Pseudopods	p. 101
Pseudostreaks	p. 102
Pseudotrabeculae of Blue-gray Granules	p. 102
Pseudotrabeculae of Melanophages	p. 102
Psoriasis and Spongiotic Dermatitis	p. 102
Psoriatic Oil Spot	p. 102
Purpuric Lesions	p. 102
	p. 105
Rabinovitz Sign	p. 105
Radial Streaming	p. 105
Radial Symmetrical Streaks	p. 106
Recurrent (Persistent) Nevus	p. 106
Red Corona	p. 106
Red Lagoons	p. 107
Red Parallel Ridge Pattern	p. 107
Red-blue Areas	p. 107
Reed Nevus	p. 107
Regressing Malignant Melanoma	p. 107
Regression Pattern	p. 107
Regression Structures	p. 107
Regressive Areas	p. 108
Rete Ridges	p. 108
Retention Hyperkeratosis	p. 108
Reticular Network	p. 108
Reticular Pattern	p. 108
Reticular-Homogeneous Pattern	p. 108
Reticulo-globular Pattern	p. 109
Rhexis Bleeding	p. 109
Rhomboidal Structures	p. 109
Rope-Ladder Pattern	p. 109
Rosacea-like Dermatitis	p. 109
Ruby Spot	p. 109
S	p. 111
Saccular Pattern	p. 111
Satellitosis	p. 112
Scabies	p. 112
Scar-like Depigmentation	p. 112
Scleroderma	p. 113
Scleroderma Pattern	p. 113
Sebaceous Gland Follicle	p. 113
Sebaceous Gland Hyperplasia	p. 113
Sebaceous Hyperplasia	p. 113
Seborrheic Keratoses	p. 113
Seborrheic Verruca	p. 115
Seborrheic Wart	p. 115
Segmental Lentiginosis	p. 115
Senile Lentigo	p. 115
Sensitivity	p. 115
Septa	p. 115
Seven-point Checklist	p. 115
Single Color	p. 115
Skin of the Palms and Soles	p. 116
Slate-gray Dots or Granules	p. 116
Slate-gray Ovoid or Larger Areas	p. 116
Slate-gray Pseudopods	p. 116
Slate-gray Remnants of a Network	p. 116
Slate-gray Reticular Pattern	p. 116
Small-diameter Melanocytic Lesions, Differential Diagnosis	p. 116
Solar Lentigo	p. 117
Soyer Sign	p. 117
Specificity	p. 117
Spindle Cell Nevus	p. 118
Spinous Layer	p. 118
Spitz Nevus	p. 118
Spoke-wheel-like Structures	p. 119
Squamous Cell Carcinoma	p. 119
Squamous Cell Carcinoma in Situ	p. 120
Starburst Pattern	p. 120
Steel-blue Areas	p. 121
Stratum Basale	p. 121
Stratum Corneum	p. 121
Stratum Granulosum	p. 121
Stratum Malpighii	p. 122
Stratum Papillare	p. 122
Stratum Reticulare	p. 122
Stratum Spinosum	p. 122
Streaks	p. 122
Structureless Areas	p. 122
Subungual Hemorrhage	p. 122
Subungual Melanocytic Nevus	p. 122
Subungual Melanoma	p. 123
Sunburn Lentigo	p. 123
Superficial Spreading Melanoma	p. 123
Supernumerary Nipple	p. 123
Sutton Nevus	p. 124
Symmetric Pigmentation Pattern	p. 124
	p. 125
Tack Phenomenon	p. 125
Target Globules	p. 125
Targetoid Pattern	p. 125
Telangiectasia	p. 126
Terminal Hair Follicle	p. 126
Three-point Checklist	p. 126
Total Dermoscopy Score	p. 126
Trabeculae of Melanophages	p. 126
Tree-like Branching	p. 127
Tree-like Telangiectasis	p. 127
Triangular Structure	p. 127
	p. 129
Unclassified Pattern	p. 129
Unna's Nevus	p. 129
Unstructured Areas with Peripheral Collections of Gray-blue/Purple Granules	p. 129
Urticarial Vasculitis	p. 129
	p. 131
Vascular Lobules	p. 131
Vascular Patterns	p. 131
Vascular Structures in Skin Tumors	p. 131
Vellus Hair Follicles	p. 131
Verruca Seborrhoica Senilis	p. 131
Vital Histology	p. 131
	p. 133
White and Blue Areas	p. 133
White Scar-like Areas	p. 133
Whitish- or Bluish-Opaque Septa	p. 133
Wickham's Striation Phenomenon	p. 133
Wobble Sign	p. 133
	p. 135
Zonal Architecture	p. 135
References	p. 137
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