Conflicts of interest: None.
Tropical Medicine Rounds
Dermoscopic features of cutaneous leishmaniasis
Article first published online: 22 AUG 2013
© 2013 The International Society of Dermatology
International Journal of Dermatology
Volume 52, Issue 11, pages 1361–1366, November 2013
How to Cite
Taheri, A. R., Pishgooei, N., Maleki, M., Goyonlo, V. M., Kiafar, B., Banihashemi, M. and Khajedaluee, M. (2013), Dermoscopic features of cutaneous leishmaniasis. International Journal of Dermatology, 52: 1361–1366. doi: 10.1111/ijd.12114
- Issue published online: 25 OCT 2013
- Article first published online: 22 AUG 2013
- Mashhad University of Medical Sciences
Previous studies have demonstrated that dermoscopy improves accuracy in diagnosing pigmented and non-pigmented tumors. Recently, there has been increasing evidence that dermoscopy can also be useful in the diagnosis of some skin infections.
We sought to describe the dermoscopic features of cutaneous leishmaniasis.
Dermoscopic examination (using the Derm Lite FOTO, 3Gen) of 144 CL lesions in 82 patients was performed. This study was conducted in the Imam Reza and Ghaem hospitals (Mashhad, Iran) from October 2010 to September 2011.
We observed the following dermoscopic features: generalized erythema (81.9%), white starbursts (60.4%), yellow hue (43.8%), yellow teardrop-like structures (41.7%), central ulcers (59%), hyperkeratosis (33.3%), and milia-like cysts (4.9%). We also observed vascular structures, including dotted vessels (61.1%), hairpin vessels (37.5%), linear irregular vessels (30.6%), comma-shaped vessels (29.9%), glomerular vessels (22.9%), arborizing telangiectasia (10.4%), and corkscrew vessels (4.2%).
Biopsy and pathologic evaluation were not performed due to ethical considerations.
Important vascular patterns seen in melanocytic and non-melanocytic tumors were frequently observed in this infection. Dermoscopy may be a promising tool to predict the clinical course in cases of cutaneous leishmaniasis.