Pigment granules are sensitivity dermatoscopic feature in diagnosis cutaneous lupus erythematosus
Lesions of cutaneous lupus erythematosus(CLE)is highly heterogenous.CLE is categorized based on very common features and similar responses to treatment,lesions are mainly heal with scaring.Early diagnosis of CLE is crucial,dermoscopy may enable early diagnosis and help to assess the prognosis of well-established lesions.Retrospective analysis of 90 CLE cases under dermoscopy and pathological biopsy was performed.Cases were reviewed for information regarding pathological and dermoscopy pattern.Dermoscopy was performed using Medicam 800/1000(FotoFinder,Germany)at 20～70× magnification in non-polarized mode.Pigment granules,multiform dilated vessels,follicular keratotic plugs and white structureless areas/white fiber cord are the most featured dermoscopic manifestations in the diagnosis of CLE.The multiform dilated vessels including serpentine,punctate,linear,spiral and hairpin.The distribution pattern of vessels is mainly around follicles,that is red dot sign,other distribution patterns including focal distribution pattern,uniform mode,central mode,peripheral distribution pattern.
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