By Volker Paech, Hans Schulz, Zsolt Argenyi, Thilo Gambichler, Peter Altmeyer
New technological techniques in dermatologic diagnostics, equivalent to floor microscopy and dermoscopy, are consistently advancing. Anatomical constructions should be considered like by no means ahead of. via those new suggestions the need of a brand new terminology and a brand new set of dermoscopic standards has arise. to date, many various and occasionally complicated phrases were utilized in designating those microscopic beneficial properties. besides the fact that, the day-by-day problem physicians face while comparing pores and skin lesions acquires quick entry to the present dermoscopic nomenclature and definition. This particular consultant presents a complete, present, and actual A-Z encyclopaedia to elucidate the that means of floor microscopic and dermoscopic terminology together with a wide diversity of either melanocytic and non-melanocytic pores and skin lesions. it's going to aid dermatologists, histopathologists and all different physicians in control of a biopsy and excision decision.
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Additional resources for Compendium of Surface Microscopic and Dermoscopic Features
Reference 143 Capillary Sequestration 7 Nailfold capillaries, alterations. 41 Junctional nevus with a central hyperpigmented basic pattern and a regular peripheral network Central Hypopigmented Pattern Definition Central hypopigmented pattern is a common pattern that consists of a symmetrically localized and mainly structureless hypopigmented regular area in the center of a melanocytic lesion that suggests a benign lesion (Fig. 42). In most cases a regular peripheral network may be present. Central Hyperpigmented Pattern Definition A central hyperpigmented pattern is a basic surface microscopy pattern of melanocytic lesions with a symmetrically and strongly pigmented center that suggests a benign lesion (Fig.
There is also a characteristic dyskeratosis with individual cell keratinization and a pronounced stromal reaction in the upper dermis. The atypical epithelial cells have not yet invaded the basement membrane zone. References 58; 262 Histopathology In the acanthotic thickened epidermis there is a proliferation of atypical cells (nuclear pleiomorphism) with viral-like cytopathological changes. Irregular thickened rete ridges are intercalated with narrow and elongated connective-tissue papillae. The overall changes resemble those of Bowen’s disease-like changes, often with abundant melanin in the epithelium in the dermal papillae.
Blue-gray, blue, or purple granules (peppering) represent melanin-laden macrophages, loose melanin, fine melanin particles (melanin “dust”) in melanophages, or free melanin in the deep papillary or reticular dermis. References 21; 46; 82; 111; 142; 143; 186; 188; 200; 211; 212; 213; 222; 279; 280; 298 Dotted Vessels Synonym The synonym for dotted vessels is pinpoint vessels. 1 mm in diameter) within the amelanotic compo nent or throughout a melanocytic or non-melanocytic lesion. Occurrence .. Fig.