Dermoscopy in the Diagnosis of Cutaneous Leishmaniasis

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dc.contributor.authorSerarslan, Gamze
dc.contributor.authorEkiz, Ozlem
dc.contributor.authorOzer, Cahit
dc.contributor.authorSarikaya, Gokhan
dc.date.accessioned2024-09-18T20:15:06Z
dc.date.available2024-09-18T20:15:06Z
dc.date.issued2019
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: Cutaneous leishmaniasis (CL) is a protozoan infectious disease. Dermoscopy is a noninvasive diagnostic tool that has been applied to several skin diseases, including infestations. Objectives: To determine the dermoscopic patterns of CL lesions and to investigate whether a relationship exists between dermoscopic characteristics and the disease duration, localization, and type of CL lesions. Methods: Seventy-nine patients (48 male, 31 female) from Hatay, Turkey, were enrolled in the study and a dermoscopic evaluation was performed on 139 lesions. Images of CL lesions were taken via polarized light contact dermoscopy. Chi-square and Fisher exact tests were used for statistical analyses and P values <0.05 were considered significant. Results: Generalized erythema was seen in all CL lesions. Vascular structures (94.2%), yellow tears (75.5%), and a white starburst-like pattern (58.3%) were the other most common dermoscopic features. Hyperkeratosis (P = 0.001) and white starburst-like pattern (P < 0.001) were more prevalent in the extremities than elsewhere. Among vascular structures, linear irregular (45.8%), hairpin (43.5%), and comma-shaped (25.9%) patterns were the most common dermoscopic findings. Linear irregular (P = 0.023) and arborizing vessels (P = 0.001) were observed in the head-neck region. Dotted (P = 0.009), hairpin (P < 0.001), and glomerular-like (P = 0.016) morphological findings were more prevalent in the extremities. Statistical significances in disease duration were detected in microarborizing (P = 0.027) and arborizing (P = 0.004) vessels and were most prevalent with a disease duration of >6 months. Hairpin vessels were prevalent in the plaque and nodulo-ulcerative type of lesions. Dotted vessels were most commonly seen in the plaque type (47.4%) of lesions. Conclusions: Generalized erythema, yellow tears, and starburst-like patterns, as well as linear irregular, hairpin, comma-shaped, and arborizing vessels, were the most commonly detected dermoscopic features of CL lesions. We suggest that the presence of these features can be helpful when diagnosing CL lesions by dermoscopy.en_US
dc.identifier.doi10.5826/dpc.0902a06
dc.identifier.endpage118en_US
dc.identifier.issn2160-9381
dc.identifier.issue2en_US
dc.identifier.pmid31106013en_US
dc.identifier.scopus2-s2.0-85084223187en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage111en_US
dc.identifier.urihttps://doi.org/10.5826/dpc.0902a06
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9453
dc.identifier.volume9en_US
dc.identifier.wosWOS:000580866500006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInt Dermoscopy Societyen_US
dc.relation.ispartofDermatology Practical & Conceptualen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectdermoscopyen_US
dc.subjectleishmaniasisen_US
dc.subjectvascularen_US
dc.subjectcutaneousen_US
dc.titleDermoscopy in the Diagnosis of Cutaneous Leishmaniasisen_US
dc.typeArticleen_US

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