Evidence map›Paper›PMID 39918172›Full record

ArticleJournal of cosmetic dermatology2025

Sensitivity and Specificity Analysis of Different Lesion Areas of Vitiligo by Reflectance Confocal Microscopy.

Jiyuan Wu, Miaomiao Sun, Zijia Wei, Qian Jiang, Hongying Chen, Liuqing Chen

Abstract readComparative Study
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jiyuan WuDepartment of Dermatology, Wuhan No. 1 Hospital, Wuhan, China.
Miaomiao SunDepartment of Dermatology, Wuhan No. 1 Hospital, Wuhan, China.ORCID https://orcid.org/0009-0008-5737-0519
Zijia WeiDepartment of Dermatology, Wuhan No. 1 Hospital, Wuhan, China.
Qian JiangDepartment of Dermatology, Wuhan No. 1 Hospital, Wuhan, China.
Hongying ChenDepartment of Dermatology, Wuhan No. 1 Hospital, Wuhan, China.
Liuqing ChenDepartment of Dermatology, Wuhan No. 1 Hospital, Wuhan, China.

Funding

Hubei Provincial Administration of Traditional Chinese Medicine 2025 Traditional Chinese Medicine Research Project
6 · The paper itself

Abstract

backgroundClinical diagnosis and staging of vitiligo often rely on the patient's subjective recollection, physician's experience, or clinical evaluation methods. An objective, quantitative diagnostic approach is lacking.

aimsThis study was performed to compare the sensitivity and specificity of different lesion areas and full scanning of lesion areas using reflectance confocal microscopy (RCM) for diagnosis and staging of vitiligo.

methodsClinical and RCM data of patients diagnosed with vitiligo were collected. RCM data were gathered from three sites of a lesion: the center of the lesion, the margin of the lesion, and the perilesional normal skin. Scoring was conducted for each method, categorizing the results as either the progressive or stable stage of vitiligo.

resultsThe sensitivity was significantly lower in the perilesional normal skin than at multiple sites (p < 0.001). The specificity was significantly lower in the center of the lesion and at the margin than at multiple sites and significantly higher in the perilesional normal skin than at multiple sites (p < 0.05 for all).

conclusionsThe results of RCM of different lesion areas of vitiligo showed that the rate of missed diagnosis of the progressive stage was lowest in the center of the lesion and comparable to that of multiple sites. The misdiagnosis rate for the stable stage was lowest in the perilesional normal skin, significantly differing from the other sites. Overall, scanning multiple sites yielded the most accurate results, offering flexibility in selection according to the patient's compliance.

Indexed as

SkinVitiligoAdolescentAdultFemaleHumansMaleMicroscopy, ConfocalMiddle AgedSensitivity and SpecificitySeverity of Illness IndexYoung Adultdiagnosisreflective confocal microscopyrefractory vitiligovitiligovitiligo staging

Identifiers

PMID39918172
PMCPMC11804161

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