Crown vessels and shiny white structures in dermoscopy of histoid leprosy

Abadías-Granado, I. ; Navarro-Bielsa, A. ; Gómez-Mateo, M.C. ; Bermúdez-Cameo, R. ; Gilaberte, Y. (Universidad de Zaragoza)

Resumen: INTRODUCTION
Leprosy is a chronic granulomatous infection caused by Mycobacterium leprae with varied clinical presentations. Owing to its low incidence, together with its myriad clinical presentations, leprosy poses a diagnostic challenge and can easily be confused with other infective and noninfective granulomatous dermatoses.1 Dermoscopy is a simple and noninvasive technique that is widely used for the diagnosis and monitoring of melanoma and nonmelanoma skin cancers and many inflammatory disorders. However, the utility of this technique for the diagnosis of granulomatous diseases has only recently been demonstrated.2 Although dermoscopy shows diagnostically useful patterns in infections and inflammatory diseases with granulomatous presentations, the dermoscopic features of leprosy are poorly documented in the literature.
CASE REPORT
A 45-year-old Moroccan man who lived in Spain for many years, but frequently visited his country of origin, was seen at the dermatology service for skin lesions on the trunk and upper and lower extremities. The lesions, which appeared 5 years earlier, were progressive in nature, caused intense itching, and were treated with topical corticosteroids and oral antihistamines without improvement. The patient had undergone analyses 3 years earlier, but no...

Idioma: Inglés

DOI: 10.1016/j.jdcr.2020.08.040

Año: 2020

Publicado en: JAAD Case Reports 6, 11 (2020), 1147-1149
ISSN: 2352-5126

Factor impacto SCIMAGO: 0.461 - Dermatology (Q3)

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Dermatología (Dpto. Medicina, Psiqu. y Derm.)