Lichenoid Keratosis: A Clinical Trap without Secrets for Reflectance Confocal Microscopy
Lichenoid keratosis, also defined as benign lichenoid keratosis, was reclassified as lichen planus-like keratosis by Shapiro and Ackerman. Clinical and dermoscopic features of lichen planus-like keratosis can vary, often not providing useful and necessary information to perform an accurate diagnosis...
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| Published in: | Case reports in dermatology Vol. 12; no. 1; pp. 47 - 51 |
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| Main Authors: | , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Basel, Switzerland
S. Karger AG
01-01-2020
Karger Publishers |
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| Abstract | Lichenoid keratosis, also defined as benign lichenoid keratosis, was reclassified as lichen planus-like keratosis by Shapiro and Ackerman. Clinical and dermoscopic features of lichen planus-like keratosis can vary, often not providing useful and necessary information to perform an accurate diagnosis without performing a biopsy or histological examination. We describe 2 difficult to detect lichen planus-like keratosis cases in which we performed reflectance confocal microscopy. We underline the usefulness of this noninvasive diagnostic tool in the unclear cases of lichen planus-like keratosis. |
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| AbstractList | Lichenoid keratosis, also defined as benign lichenoid keratosis, was reclassified as lichen planus-like keratosis by Shapiro and Ackerman. Clinical and dermoscopic features of lichen planus-like keratosis can vary, often not providing useful and necessary information to perform an accurate diagnosis without performing a biopsy or histological examination. We describe 2 difficult to detect lichen planus-like keratosis cases in which we performed reflectance confocal microscopy. We underline the usefulness of this noninvasive diagnostic tool in the unclear cases of lichen planus-like keratosis. |
| Author | Velasco, Virginia Campione, Elena Gonzalez, Salvador Di Prete, Monia Lanna, Caterina Cosio, Terenzio Bianchi, Luca Mazzilli, Sara |
| AuthorAffiliation | b Medicine and Medical Specialties Department, Alcala University, Madrid, Spain a Dermatologic Unit, University of Rome Tor Vergata, Rome, Italy c Anatomic Pathology, University of Rome Tor Vergata, Rome, Italy d University Hospital 12 de Octubre, Madrid, Spain |
| AuthorAffiliation_xml | – name: a Dermatologic Unit, University of Rome Tor Vergata, Rome, Italy – name: b Medicine and Medical Specialties Department, Alcala University, Madrid, Spain – name: c Anatomic Pathology, University of Rome Tor Vergata, Rome, Italy – name: d University Hospital 12 de Octubre, Madrid, Spain |
| Author_xml | – sequence: 1 givenname: Sara surname: Mazzilli fullname: Mazzilli, Sara email: *Sara Mazzilli, Viale Oxford 81, University of Rome, Tor Vergata, IT–00183 Rome (Italy), Saramazzilli2@gmail.com – sequence: 2 givenname: Terenzio surname: Cosio fullname: Cosio, Terenzio – sequence: 3 givenname: Elena surname: Campione fullname: Campione, Elena – sequence: 4 givenname: Salvador surname: Gonzalez fullname: Gonzalez, Salvador – sequence: 5 givenname: Caterina surname: Lanna fullname: Lanna, Caterina – sequence: 6 givenname: Monia surname: Di Prete fullname: Di Prete, Monia – sequence: 7 givenname: Virginia surname: Velasco fullname: Velasco, Virginia – sequence: 8 givenname: Luca surname: Bianchi fullname: Bianchi, Luca |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32308575$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.5826/dpc.0803a06 10.1159/000254438 10.5826/dpc.0302a10 10.1016/j.det.2016.05.007 |
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| Copyright | 2020 The Author(s). Published by S. Karger AG, Basel Copyright © 2020 by S. Karger AG, Basel. Copyright © 2020 by S. Karger AG, Basel 2020 |
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| Keywords | Lichenoid keratosis Confocal microscopy Pink lesion Polymorphic vascular pattern |
| Language | English |
| License | This article is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC). Usage and distribution for commercial purposes requires written permission. Copyright © 2020 by S. Karger AG, Basel. This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission. |
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| References | Gill M, González S. Enlightening the Pink: Use of Confocal Microscopy in Pink Lesions. Dermatol Clin. 2016Oct;34(4):443–58. 10.1016/j.det.2016.05.007276924500733-8635 Shapiro L, Ackerman AB. Solitary lichen planus-like keratosis. Dermatologica. 1966;132(5):386–92. 10.1159/00025443859222720011-9075 Nagrani N, Jaimes N, Oliviero MC, Rabinovitz HS. Lichen planus-like keratosis: clinical applicability of in vivo reflectance confocal microscopy for an indeterminate cutaneous lesion. Dermatol Pract Concept. 2018Jul;8(3):180–3. 10.5826/dpc.0803a06301166602160-9381 Ramirez-Fort MK, Al Jalbout S, Kittler H, Pellacani G, Ramirez-Fort MK. Lichenoid keratosis: non-invasive imaging in the setting of diagnostic uncertainty. Dermatol Pract Concept. 2013Apr;3(2):63–5. 10.5826/dpc.0302a10237856482160-9381 P.Zaballos, S.Blazquez,* S. Puig, E. Salsench, J. Rodero, J.M. Vives and J. Malvehy: Dermoscopic pattern of intermediate stage in seborrheic keratosis regressing to lichenoid keratosis: report of 24 cases British Journal of Dermatology 157(2), 266,72 Aug 2007 ref2 ref1 ref4 ref3 |
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| Snippet | Lichenoid keratosis, also defined as benign lichenoid keratosis, was reclassified as lichen planus-like keratosis by Shapiro and Ackerman. Clinical and... |
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| SubjectTerms | Case reports Case Series confocal microscopy Inflammation lichenoid keratosis Microscopy pink lesion polymorphic vascular pattern Skin diseases |
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| Title | Lichenoid Keratosis: A Clinical Trap without Secrets for Reflectance Confocal Microscopy |
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