ArticleIndian journal of dermatology
A Single Centre Cross-Sectional Observational Study on Dermatoscopy of Oral Mucosal Disorders and Histopathological Correlation in Tertiary Care Centre from Central India.
Article in Indian journal of dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: A dermatoscope is a non-invasive diagnostic imaging tool that enables to visualise superficial, deeper structures, pigmentary and vascular patterns of skin, nails, hair and mucosa. Oral mucosal lesions are abnormal alterations in colour, surface, presence of swelling, or loss of integrity of mucosal and semimucosal surface. The use of dermoscopy in the characterisation of mucosal disorder is a grey area and needs further exploration. Aim: To describe clinical and mucoscopic features and correlate histopathologically in oral mucosal diseases. Method: Single-centre, cross-sectional, observational study presenting to inpatient and outpatient departments of dermatology, and otorhinolaryngology. Patients fulfilling inclusion criteria were dermoscopically evaluated using DermLite DL4, 30 mm lens system and 10× magnification and documented in a prestructured proforma. Then, a mucosal biopsy was taken from the visualized site. Results: Fordyce spots were observed as white-yellow clods with dots. Median rhomboid glossitis as atrophic filiform papillae at the centre with normal-looking peripheral papillae. Pemphigus vulgaris visualized as a red structureless area, red dots, with violaceous streaks at the periphery. Lichen planus showed a tricolor pattern, Wickham's striae, blunted tips of lingual papillae, discoid lupus erythematosus showed superficial erosions, yellow-white scale, brown pigment spots at the periphery with telangiectasia and follicular plugs at the vermilion border. Aphthous stomatitis characterised by three zones with a central yellowish-white structureless area, a surrounding white area, and a peripheral red structureless area. Actinic cheilitis showed superficial ulceration, polymorphic vessels and white scales. Warts have hyperkeratotic pointed tips with fused bases, with central thrombosed capillaries. Conclusion: Mucoscopy helps in delineating various mucosal diseases with subtle features.
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