Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease
Objective: Behcet's disease (BD), as a vasculitis, can affect small and large vessels. As dermatoscopy has been shown to improve the accuracy in diagnosis of various skin lesions especially vascular patterns, we set this study to find if there is any characteristic pattern in the dermatoscopy o...
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Sociedade Portuguesa de Reumatologia
2019-07-01
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doaj-cf43f6b531cb4e5c955f8036fc6b95c02020-11-25T02:08:41ZengSociedade Portuguesa de ReumatologiaActa Reumatológica Portuguesa0303-464X2019-07-0120193225231AO180302Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s DiseaseS. Zahra GhodsiNegar Bahrololoumi BafrueeChyda Chams DavatchiCliff RosendahlBengu Nisa AkayFereydoun DavatchiHormoz ChamsFarhad ShahramAbdolhadi NadjiMassoomeh AkhlaghiTahereh FaeziHoda KavosiObjective: Behcet's disease (BD), as a vasculitis, can affect small and large vessels. As dermatoscopy has been shown to improve the accuracy in diagnosis of various skin lesions especially vascular patterns, we set this study to find if there is any characteristic pattern in the dermatoscopy of Behcet’s mucocutaneous lesions. Methods: This prospective cross-sectional observational study designed to evaluate dermatoscopic features of Behcet’s mucocutaneous lesions. Fifty six consecutive patients presenting at the outpatient clinic of the BD Research Unit were included. If present, for each patient one oral, one skin and one genital lesion were evaluated by dermatoscopy. When indicated, pathergy test was performed according to a standard protocol and the results were evaluated by dermatoscopy. Results: A total of 40 oral, 8 genital, 14 skin lesions and 14 pathergy tests were evaluated by dermatoscopy. While vascular component was the most prominent feature in oral aphthae, this component was less prominent in genital lesions. Dot vessels were the most common form of vessels in both oral and skin lesions. All the oral lesions were characterized by a central white structureless area. Skin lesions were characterized by a red structureless background. In pathergy tests, negative pricks showed absence of specific features while positive pricks were characterized by a structureless background in pink, purple or red. No obvious vascular component was detected in any of the pricks. Conclusion: It seems that these findings have no specific clues for the diagnosis of BD, but our study is the first study in this field and the findings may give way to further investigations.http://www.actareumatologica.com/files/article/1257_dermatoscopic_and_mucoscopic_features_of_lesions_in_patients_with_behcet_s_disease_file.pdfbehçet's disease |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
S. Zahra Ghodsi Negar Bahrololoumi Bafruee Chyda Chams Davatchi Cliff Rosendahl Bengu Nisa Akay Fereydoun Davatchi Hormoz Chams Farhad Shahram Abdolhadi Nadji Massoomeh Akhlaghi Tahereh Faezi Hoda Kavosi |
spellingShingle |
S. Zahra Ghodsi Negar Bahrololoumi Bafruee Chyda Chams Davatchi Cliff Rosendahl Bengu Nisa Akay Fereydoun Davatchi Hormoz Chams Farhad Shahram Abdolhadi Nadji Massoomeh Akhlaghi Tahereh Faezi Hoda Kavosi Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease Acta Reumatológica Portuguesa behçet's disease |
author_facet |
S. Zahra Ghodsi Negar Bahrololoumi Bafruee Chyda Chams Davatchi Cliff Rosendahl Bengu Nisa Akay Fereydoun Davatchi Hormoz Chams Farhad Shahram Abdolhadi Nadji Massoomeh Akhlaghi Tahereh Faezi Hoda Kavosi |
author_sort |
S. Zahra Ghodsi |
title |
Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease |
title_short |
Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease |
title_full |
Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease |
title_fullStr |
Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease |
title_full_unstemmed |
Dermatoscopic and Mucoscopic Features of Lesions in Patients with Behcet’s Disease |
title_sort |
dermatoscopic and mucoscopic features of lesions in patients with behcet’s disease |
publisher |
Sociedade Portuguesa de Reumatologia |
series |
Acta Reumatológica Portuguesa |
issn |
0303-464X |
publishDate |
2019-07-01 |
description |
Objective: Behcet's disease (BD), as a vasculitis, can affect small and large vessels. As dermatoscopy has been shown to improve the accuracy in diagnosis of various skin lesions especially vascular patterns, we set this study to find if there is any characteristic pattern in the dermatoscopy of Behcet’s mucocutaneous lesions.
Methods: This prospective cross-sectional observational study designed to evaluate dermatoscopic features of Behcet’s mucocutaneous lesions. Fifty six consecutive patients presenting at the outpatient clinic of the BD Research Unit were included. If present, for each patient one oral, one skin and one genital lesion were evaluated by dermatoscopy. When indicated, pathergy test was performed according to a standard protocol and the results were evaluated by dermatoscopy.
Results: A total of 40 oral, 8 genital, 14 skin lesions and 14 pathergy tests were evaluated by dermatoscopy. While vascular component was the most prominent feature in oral aphthae, this component was less prominent in genital lesions. Dot vessels were the most common form of vessels in both oral and skin lesions. All the oral lesions were characterized by a central white structureless area. Skin lesions were characterized by a red structureless background. In pathergy tests, negative pricks showed absence of specific features while positive pricks were characterized by a structureless background in pink, purple or red. No obvious vascular component was detected in any of the pricks.
Conclusion: It seems that these findings have no specific clues for the diagnosis of BD, but our study is the first study in this field and the findings may give way to further investigations. |
topic |
behçet's disease |
url |
http://www.actareumatologica.com/files/article/1257_dermatoscopic_and_mucoscopic_features_of_lesions_in_patients_with_behcet_s_disease_file.pdf |
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