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Diagnostic Dermoscopy
The Illustrated Guide
Jonathan Bowling (Edited by), John Paoli (Consultant editor), Alex Chamberlain (Consultant editor)
9781118930489, Wiley
Paperback / softback, published 9 June 2022
336 pages
27.2 x 21.3 x 1.3 cm, 0.953 kg
DIAGNOSTIC DERMOSCOPY DIAGNOSTIC DERMOSCOPY Diagnostic Dermoscopy delivers a focused, practical and user-friendly guide to diagnosing the most frequently seen presentations of skin lesions practitioners encounter in clinic. The new edition offers a comprehensive collection of strategies to find and diagnose skin cancers at an earlier point in their evolution, and to increase confidence in diagnosing benign lesions to reduce both patient morbidity and mortality. The many full-colour illustrations included within are standardised to aid in recognition, while the adjoining dermoscopy images focus on critical diagnostic features which, when combined with the provided clinical information, are sufficient for specific diagnoses or narrow differential diagnoses. The new edition is formatted to aid teledermoscopy education, including many illustrated cases for reference. Diagnostic Dermoscopy offers: Diagnostic Dermoscopy is the ideal resource for dermatologists, primary care physicians, plastic surgeons and allied health practitioners involved in skin lesion and melanoma diagnosis. Dermoscopy UK Further information on dermoscopy education, and online courses can be found at www.dermoscopy.co.uk
Preface xi Chapter 1 Introduction 1 Introduction 2 Dermoscopy and diagnosis 3 Dermoscopy principle I – illumination 4 Dermoscopy principle II – magnification 5 Dermoscopy colours I – eumelanin 6 Dermoscopy colours II – non‐eumelanin 7 Imaging modes I – colours 8 Imaging modes II – structures 9 Dermoscopy of normal skin 10 Dermoscopy of photodamaged skin 11 Vascular morphologies 12 Characteristic vascular patterns 13 Polarised dermoscopy – shiny white structures 14 Chapter 2 Melanocytic naevi 15 Early naevi – globular 16 Acquired naevi – reticular 17 Acquired naevi – homogeneous 18 Acquired naevi – evolving 19 Acquired naevi in light skin 20 Acquired naevi in medium-toned skin 21 Atypical melanocytic lesions 22 Atypical melanocytic lesions cases 23 Dermal naevus – pigmented 24 Dermal naevus – hyperpigmented 25 Dermal naevus in dark skin 26 Combined naevus 27 Blue naevus 28 Blue naevus – sclerotic/hypochromic 29 Recurrent naevus 30 Halo naevus 31 Congenital naevus 32 Agminated naevus and naevus spilus 33 Reed naevus I 34 Reed naevus II 35 Pigmented Spitz naevus 36 Hypomelanotic Spitz naevus I 37 Hypomelanotic Spitz naevus II 38 Chapter 3 Melanoma Chapter 3.1 Melanoma – clinical variants 39 Small diameter 40 Small diameter cases 41 Geometric border 42 Geometric border cases 43 Geographic border 44 Geographic border cases 45 Disordered polarity 46 Disordered polarity cases 47 Naevus-associated 48 Naevus-associated cases 49 Congenital melanocytic naevus-associated 50 Chapter 3.2 Melanoma – pigment variants 51 Multicoloured 52 Multicoloured cases 53 Multicomponent 54 Multicomponent cases 55 Hypermelanotic/hyperpigmented 56 Hypermelanotic/hyperpigmented cases 57 Amelanotic macules 58 Amelanotic macules – cases 59 Amelanotic papules 60 Amelanotic papules – cases 61 Hypomelanotic macules 62 Hypomelanotic macules – cases 63 Hypomelanotic tan plaques 64 Hypomelanotic tan plaques cases 65 Chapter 3.3 Melanoma – dermoscopic features 66 Features of early melanoma 67 Atypical network – focal 68 Atypical network – focal cases 69 Atypical network – multifocal 70 Atypical network – multifocal cases 71 Atypical beaded network 72 Atypical beaded network cases 73 Black dots and globules 74 Black dots and globules cases 75 Eccentric brown blotch 76 Eccentric brown blotch – cases 77 Eccentric black blotch 78 Eccentric black blotch – cases 79 Eccentric grey blotch 80 Eccentric grey blotch – cases 81 Angulated lines 82 Angulated lines cases 83 Negative network 84 Negative network cases 85 Extensive regression 86 Extensive regression cases 87 Focal regression 88 Focal regression cases 89 Blue-whitish veil 90 Blue-whitish veil cases 91 Dermal pigmentation 92 Dermal pigmentation cases 93 Polymorphous vessels 94 Polymorphous vessels cases 95 Skin surface markings 96 Skin surface markings cases 97 Chapter 4 Non- melanocytic lesions 110 Macrocomedone 111 Solar lentigo – fingerprint pattern 112 Solar lentigo – homogeneous pattern 113 Solar lentigo – reticular pattern 114 Solar lentigo – hyperpigmented ‘ink spot’ 115 Solar lentigo – evolving seborrhoeic keratosis 116 Seborrhoeic keratosis – cerebriform pattern 117 Seborrhoeic keratosis – homogeneous pattern 118 Seborrhoeic keratosis – keratotic pattern 119 Seborrhoeic keratosis – hyperpigmented 120 Seborrhoeic keratosis – hypopigmented 121 Seborrhoeic keratosis – irritated 122 Seborrhoeic keratosis – traumatised 123 Seborrhoeic keratosis – clonal 124 Clear cell acanthoma 125 Benign lichenoid keratosis – inflammatory phase 126 Benign lichenoid keratosis – post-inflammatory phase 127 Dermatofibroma 128 Dermatofibroma – hypopigmented 129 Dermatofibroma – hyperpigmented 130 Dermatofibroma – atypical 131 Dermatofibrosarcoma protuberans 132 Neurofibromas 133 Porokeratosis 134 Porokeratosis cases 135 Epidermal naevus 136 Epidermal naevus cases 137 Cutaneous T-cell lymphoma 138 Pseudolymphoma 139 Eccrine poroma 140 Chapter 3.4 Melanoma – high-risk scenarios 98 Late features of melanoma 99 Feature-poor melanoma 100 Feature-poor melanoma cases 101 Nodular melanoma 102 Nodular melanoma cases 103 Amelanotic nodular melanoma 104 Amelanotic nodular melanoma cases 105 Metastatic melanoma 106 Metastatic melanoma cases 107 Rare melanoma subtypes 108 Synchronous melanoma 109 Chapter 5 Basal cell carcinoma 141 Superficial basal cell carcinoma – pink 142 Superficial basal cell carcinoma – pink cases 143 Superficial basal cell carcinoma – pigmented 144 Superficial basal cell carcinoma – pigmented cases 145 Nodular basal cell carcinoma – pink and small 146 Nodular basal cell carcinoma – pink and small cases 147 Nodular basal cell carcinoma – pigmented and small 148 Nodular basal cell carcinoma – pigmented and small cases 149 Nodular basal cell carcinoma – pink and large 150 Nodular basal cell carcinoma – pink and large cases 151 Morphoeic/infiltrative basal cell carcinoma 152 Morphoeic/infiltrative basal cell carcinoma cases 153 basal cell carcinoma 154 Hyperpigmented basal cell carcinoma 155 Seborrhoeic keratosis-like basal cell carcinoma 156 Fibroepithelioma of Pinkus 157 Chapter 6 Keratinocyte dysplasia 158 Actinic keratosis grade I 159 Actinic keratosis grade II 160 Actinic keratosis grade III 161 Actinic keratosis – follicular hyperkeratosis 162 Bowen’s disease – classical 163 Bowen’s disease – hypertrophic 164 Bowen’s disease – pigmented 165 Bowen’s disease – digital 166 Squamous cell carcinoma – white circles 167 Squamous cell carcinoma – keratoacanthoma 168 Squamous cell carcinoma – moderately differentiated 169 Squamous cell carcinoma – ulcerated 170 Squamous cell carcinoma – poorly differentiated 171 Chapter 7 Special sites Periungual warts 194 Onychomycosis 195 Chloronychia – green nails 196 Nail pigmentation – exogenous 197 Capillaroscopy 198 Chapter 7.3 Facial lesions 199 Venous lake 200 Mucosal melanosis 201 Milium/keratin cyst 202 Hidrocystoma 203 Epidermoid cysts 204 Pilomatricoma 205 Sebaceous hyperplasia 206 Sebaceous adenoma 207 Sebaceous naevus 208 Malignant adnexal carcinomas 209 Juvenile xanthogranuloma 210 Granulomatous folliculitis 211 Fibrous papule 212 Trichilemmoma 213 Chapter 7.1 Acral melanocytic lesions 172 Dermal naevus 214 Acquired acral naevi 173 Dermal naevus cases 215 Acral parallel furrow pattern 174 Solar lentigo – fingerprinting 216 Acral lattice pattern 175 Solar lentigo – homogeneous pigmentation 217 Acral fibrillar pattern 176 Solar lentigo – moth-eaten border 218 Congenital acral naevus 177 Ink spot lentigo 219 Acral lentiginous melanoma 178 Benign lichenoid keratosis 220 Acral lentiginous melanoma cases 179 Benign lichenoid keratosis – post-inflammation phase 221 ALM – brown-grey pigmentation 180 Lentigo maligna 222 ALM – brown-grey pigmentation cases 181 Lentigo maligna – annular granular pigmentation 223 Advanced acral lentiginous melanoma 182 Lentigo maligna – circles 224 Lentigo maligna – perifollicular pigmentation 225 Lentigo maligna – young adults 226 Chapter 7.2 Onychoscopy 183 Lentigo maligna melanoma – I 227 Nail matrix naevi 184 Lentigo maligna melanoma – II 228 Nail apparatus melanoma in situ 185 Early invasive nail apparatus melanoma 186 Advanced nail apparatus melanoma – pigmented 187 Chapter 7.4 Scalp lesions 229 Advanced nail apparatus melanoma – non-pigmented 188 Scalp naevus – dermal 230 Nail apparatus squamous cell carcinoma 189 Scalp naevus – junctional 231 Erythronychia 190 Scalp naevus – blue 232 Onychopapilloma 191 Scalp naevus – reticular homogeneous 233 Subungual haematoma 192 Scalp seborrhoeic keratosis 234 Subungual haematoma cases 193 Scalp seborrhoeic keratosis cases 235 Scalp melanoma – thin 236 Scalp melanoma – thin cases 237 Scalp melanoma – thick 238 Scalp metastases 239 Scalp basal cell carcinoma 240 Scalp basal cell carcinoma cases 241 Scalp B-cell lymphoma 242 Scalp cylindromas/spiradenomas 243 Scalp sarcoidosis 244 Chapter 7.5 Trichoscopy 245 Alopecia areata 246 Androgenetic alopecia 247 Frontal fibrosing alopecia 248 Lichen planopilaris 249 Discoid lupus erythematosus 250 Tufted folliculitis 251 Steroid-induced telangiectasia 252 Pseudopelade 253 Circle hairs 254 Trichostasis spinulosa 255 Picker’s nodule 256 Traction/frictional alopecia 257 Pseudonits 258 Chapter 8 Vascular lesions 259 Telangiectasia 260 Spider telangiectasia 261 Subcorneal haematoma – parallel pattern 262 Subcorneal haematoma – parallel pattern cases 263 Subcorneal haematoma – homogeneous pattern 264 Subcorneal haematoma – homogeneous pattern cases 265 Haemangiomas – red 266 Haemangiomas – purple 267 Angiokeratomas 268 Lymphangiomas 269 Pyogenic granulomas 270 Pyogenic granulomas – acral cases 271 Vascular tumours 272 Purpura – traumatic 273 Chapter 9 Inflammoscopy 274 Mastocytosis 275 Acne 276 Rosacea 277 Eczema 278 Psoriasis 279 Lichen planus 280 Lichen planus pigmentosus 281 Capillaritis 282 Vasculitis 283 Granulomatous conditions 284 Granuloma annulare 285 Tinea corporis 286 Pityriasis rosea 287 Cutaneous lupus erythematosus 288 Chapter 10 Genodermatoses 289 Gorlin syndrome 290 Cowden syndrome 291 Birt-Hogg-Dubé syndrome 292 Familial cylindromatosis syndrome 293 Muir-Torre syndrome 294 Reed syndrome 295 Familial melanoma 296 Carney complex 297 Chapter 11 Entomodermoscopy 298 Delusional parasitosis 299 Scabies – Sarcoptes scabiei 300 Scabies cases 301 Head lice – Pediculosis capitis 302 Bed bugs – Cimex lectularius 303 Tick bites – Ixodidae 304 Leishmaniasis 305 Molluscum contagiosum 306 Viral warts – Verrucae vulgaris 307 Sea urchin – Echinoidea 308 Jellyfish – Cnidaria 309 Tungiasis – Tunga penetrans 310 Myiasis – Dermatobia hominis 311 Chapter 12 Miscellaneous 312 Keloids and hypertrophic scars 313 Foreign body 314 Foreign body cases 315 Exogenous pigmentation 316 Exogenous pigmentation cases 317 Laser 318 Cryotherapy 319 Radiotherapy 320 Index 321
Subject Areas: Other branches of medicine [MM]
