Dermatoscopic Atlas of Non Pigmented Lesions Case based
Analysis and Management Options
Visit the link below to download the full version of this book:
https://medipdf.com/product/dermatoscopic-atlas-of-non-pigmented-lesions-case-ba
sed-analysis-and-management-options/
Click Download Now
Editors
Horacio Cabo
Department of Dermatology, University of Buenos Aires, Buenos Aires,
Argentina
Aimilios Lallas
First Department of Dermatology, Aristotle University of Thessaloniki,
Thessaloniki, Greece
ISBN 978-3-031-34309-4 e-ISBN 978-3-031-34310-0
https://doi.org/10.1007/978-3-031-34310-0
© The Editor(s) (if applicable) and The Author(s), under exclusive
license to Springer Nature Switzerland AG 2023
This work is subject to copyright. All rights are solely and exclusively
licensed by the Publisher, whether the whole or part of the material is
concerned, specifically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfilms or in
any other physical way, and transmission or information storage and
retrieval, electronic adaptation, computer software, or by similar or
dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks,
service marks, etc. in this publication does not imply, even in the
absence of a specific statement, that such names are exempt from the
relevant protective laws and regulations and therefore free for general
use.
The publisher, the authors, and the editors are safe to assume that the
advice and information in this book are believed to be true and accurate
at the date of publication. Neither the publisher nor the authors or the
editors give a warranty, expressed or implied, with respect to the
material contained herein or for any errors or omissions that may have
been made. The publisher remains neutral with regard to jurisdictional
claims in published maps and institutional affiliations.
This Springer imprint is published by the registered company Springer
Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham,
Switzerland
Foreword
There has long been a debate about the best way to teach dermoscopy.
Some believe that teaching dermoscopy is best done using practical
examples. Case-based practical teaching is highly effective and,
incidentally, entertaining. According to Kant, “theory without practice is
empty and practice without theory is blind”! My recommendation is to
study the theory yourself and learn the practice from the best. The
authors of this book clearly meet this criterion. Aimilios and Horacio
know the pitfalls and challenges, but also the “eureka” moments that
dermoscopy offers. And most importantly, they love to share their
knowledge. This kind of generosity coupled with eloquence and years
of first-hand experience makes them ideal teachers. If ever this
enthusiasm for dermoscopy was conveyed in a book, it is in this one.
This book is the second best, surpassed only by the pleasure of working
with Aimilios and Horacio in person.
Harald Kittler
Vienna, Austria
Preface
In 2018, we published the book Comprehensive Atlas of Dermatoscopy
Cases, and in 2020, another one named Atlas of Dermatoscopy Cases:
Challenging and Complex Clinical Scenarios, both with Springer.
Today, given the success of this editorial format for the presentation
of dermoscopic clinical cases, presented in a similar way AS is observed
in our daily medical practice, we decided to carry out a new edition:
Dermatoscopic Atlas of Non-Pigmented Lesions: Case-based Analysis and
Management Options.
Non-pigmented lesions or pink lesions are a diagnosis challenge
and require not only training in dermoscopy, but also hybrid
dermatoscopes that can be used with or without contact.
We hope this book will be useful for you and represent a new tool to
improve your dermoscopy training.
We would like to thank to all the colleagues who have shared with
us excellent cases, as well as to Springer for trusting us once again.
Horacio Cabo
Aimilios Lallas
Buenos Aires, Argentina
Thessaloniki, Greece
Contents
How to Examine Vessels:Instruments, Morphology, Distribution
and Patterns
Horacio Cabo and Aimilios Lallas
Standardization of Dermoscopic Terminology and Basic
Parameters to Evaluate in General Dermatology
Horacio Cabo, Emilia Noemi Cohen Sabban and Aimilios Lallas
Head and Neck Localization
Dominga Peirano Deck, Sebastiá n Vargas, Á lvaro Abarzú a,
Alejandra Villarroel, Cristiá n Navarrete-Dechent, Pablo Uribe,
Francesco Lacarrubba, Anna Elisa Verzì, Giuseppe Broggi,
Paula Anca, Gabriel Salerni, Polychronia Eftychidou,
Renato Marchiori Bakos, Fernanda Staub, Papageorgiou Chryssoula,
Ružica Jurakić Tončić, Theodosia Gkentsidi, Gisela D’Atri and
Horacio Cabo
Trunk Lesions
Ahmed Sadek, Emilia Noemi Cohen Sabban, Horacio Cabo,
Enzo Errichetti, Dominga Peirano, Sebastian Vargas, Alvaro Abarzua,
Cristian Navarrete Dechent, Pablo Uribe, Verche Todorovska,
Pedro Zaballos, John Paoli, Elvira Moscarella,
Juan Sebastian Andreani Figueroa, Jelena Stojkovic Filipovic,
Dusan Skiljevic, Guiseppe Micali, Ana Elisa Verzi, Livia Liguori,
Roger Gonzalez Ramirez, Maria Sofia Nicoletti Russi,
Ricardo Quiñ ones Venegas and
Deyamira Gabriela Quiñ ones Hernandez
Gluteal Area Lesions
Bengu Nisa Akay, Elisa Camela and Horacio Cabo
Upper Limbs Lesions
Gabriella Brancaccio, Raimonds Karls, Laura Freiberga,
Horacio Cabo and Emilia Noemi Cohen Sabban
Lower Limb Lesions
Ana Maria Forsea, Andre Oliveira, Francisca Donoso,
Dominga Peirano, Cristiá n Navarrete Dechent, Pablo Uribe,
Elisa Camela, Konstantinos Liopyris, Mó nica Ramos Á lvarez,
Angelica Ruiz Dueñ as, Rosario Peralta, Virginia Mariana Gonzales,
Horacio Cabo and Emilia Cohen Sabban
Genital Area Lesions
Sgouros Dimitrios, Almpanis Zannis, Katoulis Alexander, Zoe Apalla
and Horacio Cabo
Lesion on the Hands
Carlos Ortega Blanca, Jelenna Stojkovic Filipovic, Dimitrije Brasanac
and Horacio Cabo
Lesions on the Feet
Dominga Peirano Deck, Sebastiá n Vargas, Á lvaro Abarzú a,
Cristiá n Navarrete Dechent, Pablo Uribe, Leonel Hidalgo,
Danica Tiodorovic, Ilut Paula Anca, Sonia Rodriguez Saa and
Horacio Cabo
Index
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2023
H. Cabo, A. Lallas (eds.), Dermatoscopic Atlas of Non-Pigmented Lesions
https://doi.org/10.1007/978-3-031-34310-0_1
How to Examine Vessels: Instruments,
Morphology, Distribution and Patterns
Horacio Cabo1 and Aimilios Lallas2
(1) Clinical Dermatology, University of Buenos Aires, Arenales 1446
1 °C (1061) CABA, Buenos Aires, Argentina
(2) First Department of Dermatology, Aristotle University, 124 Delfon
Street, 54643 Thessaloniki, Greece
Horacio Cabo
Email: [email protected]
Abstract
Within non pigmented lesions the importance of to know vessels and
other non-pigmented structures is very important, since pigmentation
is less frequently present in this kind of lesions.
Keywords Pink lesions – Vessels – White clues
Pink lesions are clinically and dermoscopically challenging.
The first generations of dermatoscopes had only non-polarized light
and required the use of an immersion fluid and contact to the skin
surface (Fig. 1).
Fig. 1 Dermatoscope with non-polarized light
The applied pressure alters the visualization of vessels, causing
either their complete disappearance or at least a modified projection.
For this reason, the vascular patterns of common skin tumors and the
diagnostic significance of different vessel types and distributions
remained relatively obscure for several years. The invention and
widespread use of polarized non-contact dermoscopy allowed an
unimpeded observation of vascular structures a profound investigation
of the dermatoscopic morphology of hypopigmented and achromic
lesions Fig. 2. In addition, polarized dermoscopy revealed also another
group of previously invisible features, the so-called white shiny
structures. Several studies have investigated the dermatoscopic pattern
and local features of non-pigmented (often referred to as pink) tumors.
Later on, dermoscopy started to be applied also in general dermatology,
opening a brand new undiscovered morphologic spectrum. During the
previous decade, hundreds of studies investigated the dermatoscopic
features of numerous inflammatory and infectious dermatoses. In the
latter field, the importance of vessels and other non-pigmented
structures is even greater, since pigmentation is less frequently present.
Fig. 2 Hybrid dermatoscope with non-polarized light and polarized light
Based on the continuously updated knowledge on the
dermatoscopic morphology of neoplastic and non-neoplastic skin
disorders, we propose an updated categorization of non-pigmented
structures as following:
1. Vessels
The 2 main characteristics of vessels that should be assessed are the
morphologic type and the distribution.
A. Types of vessels: there are 8 types of vessels. Three are globular
and five are linear in shape.
Globular vessels
Three types of vascular structures with a globular shape can be
identified: dotted vessels, coiled vessels and lacunas.
1. Dotted vessels: they are small roundish vessels, similar to the head
of a pin and red in color (Figs. 3 and 4).
Fig. 3 Schematic drawing of punctate vessels
Fig. 4 Dotted vessels (Psoriasis)
2. Coiled (glomerular) vessels: larger than dotted vascular structures
with a roundish outline. In fact, the stem vessel is linear but in a
coiled arrangement that mimics the renal glomerulus (glomerular
vessels). With hand-held dermatoscope, coiled vessels usually
project as large red dots (Figs. 5 and 6).
Fig. 5 Schematic drawing of coiled/glomerular vessels
Fig. 6 Coiled/glomerular vessels (Squamous cell carcinoma in situ – Non-pigmented
Bowen’s disease)
3. Lacunas: large globular homogeneous areas, often grouped,
typically red in color, but occassionaly also milky-red (pink), purple,
blue or black (Figs. 7 and 8).
Fig. 7 Schematic drawing of lacunes
Fig. 8 Multiple red lacunas. Angioma
Linear vessels
This category includes linear stem vessels that might vary in length,
thickness and orientation: straight lines, irregular lines, looped lines,
curved lines, helical or corkscrew.
4. Straight linear vessels: usually short and without significant curves
(Figs. 9 and 10).
Fig. 9 Schematic drawing of straight linear vessels
