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Dermatoscopy in „Atypical“ Locations: Flat Pigmented Lesions on the Acral Parts of the Limbs


Authors: T. Fikrle;  B. Divišová;  H. Krausová;  K. Pizinger
Authors‘ workplace: Dermatovenerologická klinika FN a LF UK v Plzni, přednosta prof. MUDr. Karel Pizinger, CSc.
Published in: Čes-slov Derm, 98, 2023, No. 1, p. 30-33
Category: Dermatoscopy

Overview

The dermatoscopic picture of flat melanocytic lesions on the palms and soles most often has a parallel linear arrangement. To distinguish melanocytic nevi from thin melanomas, we can use the „ridges and furrows“ rule, which is relatively simple, in most cases. Linear thin pigmentation in the sulci superficiales corresponds to a nevus, while linear broad pigmentation over the cristae superficiales indicates the risk of acral localized melanoma. The size of the examined lesion is also important. In the text, we briefly describe some modifications of the basic dermatoscopic patterns in melanocytic lesions on the palms and soles (lattice, fibrillar, multicomponent type) and their use in differential diagnosis.

Keywords:

melanoma – Feet – dermatoscopy – palms – melanocytic nevus


Sources

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Labels
Dermatology & STDs Paediatric dermatology & STDs
Topics Journals
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