Saratov JOURNAL of Medical and Scientific Research

Diagnostic value of dermatoscopy in case of psoriasis

Year: 2015, volume 11 Issue: №3 Pages: 462-466
Heading: Dermatovenerology Article type: Short message
Authors: Utz S.R., Sherstobitova K.Y., Schneider D.A.
Organization: Saratov State Medical University, SEH «Saratov regional dermatovenerologic dispensary»
Summary:

Aim: to evaluate the picture of dermatoscopy in case of psoriasis at different stages of the disease. Materials and Methods. We observed 30 patients with a diagnosis of disseminated papular — plaque psoriasis at the stage of progression. Dermatoscopic study was conducted by the expert class videodermatoskop MoleMaxHD (company Derma Medical Systems, Austria), with an increase from x30 to x80 to initiation of therapy, on the 7th and 15th days of treatment. Results. Changes of dermatoscopic picture in psoriasis are observed on the first days of treatment, and outperformed the major clinical manifestations of infections detected by the human eye. Conclusion. Dermatoscopy reveals the earliest signs of positive dynamics of the therapy and can be used to select a rational method of treatment.

Bibliography:
1. Mordovtsev V.N., Mushet T.N., Albanova V.I. Psoriasis (pathogenesis, clinical features, treatment). Kishinev: Shti-intsa, 1991; 184 с.
2. Zhilova M.B., Kaganova N.L., Frigo N.V., Znamenskaya L.F., Volkov I.A., Volnukhin V.A. Selection of genes associated with the DNA excision repair system and development of a study method to forecast the efficacy and safety of the UV therapy of psoriasis patients. Vestn Dermatol Venerol 2009; (6): 59-66
3. Sobolev V.V., Soboleva A.G., Zolotarenko A.D., Nikolayev A.A., Korsunskaya I.M., Minnibayev M.Sh., Bruskin S.A.. Investigation of C-JUN, JUN-B, JUN-D and C-FOS gene expression for the eveluation of the efficiency of low-intensity laser therapy for psoriasis. Clinic Dermatol Venerol 2013; (1): 16-21
4. Potekayev N.S., Lvov A.N., Fadeyev V.V., Samoilenko V.V. Severe systemic side effects of topical steroid therapy for psoriasis. Clinic Dermatol Venerol 2013; (1): 31-37
5. Orlova V.O. Clinical experience with immunosuppressants used in the treatment of pustular psoriasis. Clinic Dermatol Venerol 2013; (1): 103-106
6. Kubylinsky A.A. Rationale for the use of high-intensity pulsed laser radiation in the treatment of psoriasis: PhD abstract. Moscow, 2012; 28 p.
7. Zalaudek I., Argenziano G. Dermoscopy subpatterns of inflammatory skin disorders. Arch Dermatol 2006; 142: 808
8. Lallas A., Kyrgidis A., Tzellos T.G., et al. Accuracy of der-moscopic criteria for the diagnosis of psoriasis, dermatitis, lichen planus and pityriasis rosea. Br J Dermatol 2012; 166: 1198-205
9. Vazguez-Lopez F., Kreusch J., Marghoob AA. Dermoscopic semiology: further insights into vascularfeatures by screening a large spectrum of nontumoral skin lesions. Br J Dermatol 2004; 150:226-31
10. Dupuy A., Dehen L., Bourrat E., et al. Accuracy of standard dermoscopy for diagnosing scabies. J Am Acad Dermatol 2007; 56: 53-62
11. Zalaudek I., Giacomel J., Cabo H., et al. Entodermoscopy: a new tool for diagnosing skin infections and infestations. Dermatology 2008; 216: 14-23
12. Kreusch JF. Clin Dermatol 2002; 20: 248-254
13. Pankratov V.G., Revotyuk A.A., Pankratov O.V. Derma-toscopy picture of some widespread dermatoses. Medic News 2011; (12): 14-18
14. Vazguez-Lopez F., Manjon-Haces JA, Maldonado-Seral С., etal. Dermoscopic features of plague psoriasis and lichen planus: new observations. Dermatology 2003; 207: 151-6
15. Vazguez-Lopez F., Zaballos P., Fueyo-Casado A., et al. A dermoscopy subpattern of plaque-tupe psoriasis: red globular rings. Arch Dermatol 2007; 143: 1612
16. Lallas A., Apalla Z., Tzellos T., et al. Dermoscopic in clinically atypical psoriasis. J Dermatol Case Rep 2012; 6. http://dx.doi.Org/10.3315/jdcr.2012.1102
17. De Angelis R., Bugatti L., Del Medico P., et al. Videocapil-laroscopic findings in the microcirculation of the psoriatic plaque. Dermatology 2002; 204: 236-9
18. Kim GW, Jung HJ, Ко НС, et al. Dermoscopy can be useful in differentiating scalp psoriasis from seborrhoeic dermatitis. Br J Dermatol 2011; 164: 652-6
19. Vazquez-Lopez F., Marghoob AA. Dermoscopic assessment of long-term topical therapies with potent steroids in chronic psoriasis. J Am Acad Dermatol 2004; 51: 811-3
20. Moskvin S.V., Utts S.R., Shnajder D.A. Patent 2562316 RU, MPKA61 N5/067. № 2014149852/14. Method of laser therapy of patients with psoriasis. Publ.10.09.2015. Bull. № 25
21. Order of the Ministry of Health of the Russian Federation N 433 dated 30.05.2006 «Approval of standard of care for patients with psoriasis».

AttachmentSize
2015_03-01_462-466.pdf1.29 MB

No votes yet