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

Transcription

1 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

2 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

3 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

4 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

5 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

6 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

7 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

8 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

9 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

10 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

11 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

12 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 Table of Contents provided by Blackwell's Book Services and R.R. Bowker. Used with permission.