Differentiation of pityriasis rubra pilaris from plaque psoriasis by dermoscopy.
Title | Differentiation of pityriasis rubra pilaris from plaque psoriasis by dermoscopy. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Jha, A. Kumar, Lallas A., Sonthalia S., Jhakar D., Udayan U. K., & Chaudhary R. K. P. |
Journal | Dermatol Pract Concept |
Volume | 8 |
Issue | 4 |
Pagination | 299-302 |
Date Published | 2018 Oct |
ISSN | 2160-9381 |
Abstract | Background: Diagnosing and differentiating pityriasis rubra pilaris (PRP) from other disorders can be a challenging task. Although histopathology remains the gold standard, it may not be feasible at times, especially in children. Being noninvasive, dermoscopy can be of great diagnostic importance in such a scenario. Dermoscopy overcomes the refractive properties of stratum corneum by interface medium or cross-polarization enabling easier visualization of lesions.Objective: To study the dermoscopic features of PRP and compare them with dermoscopic features of psoriasis.Patients and Methods: Retrospective observational analysis of dermoscopic characteristics of 28 patients with PRP (16) and psoriasis (12). Polarized dermoscopy at 10× magnification was performed and photographs were captured by Apple iPhone 7. The selection of dermoscopic variables was based on preexisting literature on the dermoscopic patterns of the 2 entities.Results: The most frequent dermoscopic criteria of PRP were the presence of a central hair (16/16; 100%), follicular plugs (11/16; 68.7%), and perifollicular yellow/orange halos (9/16; 56.2%). No vascular structures were seen in our cases of PRP. Psoriasis was characterized by regularly distributed dotted vessels (12/12; 100%) and white scales (8/12; 66.6%).Conclusions: Round-to-oval yellowish areas surrounding a central hair with or without follicular plugs represents the most frequent dermoscopic pattern of PRP. |
DOI | 10.5826/dpc.0804a10 |
Alternate Journal | Dermatol Pract Concept |
PubMed ID | 30479860 |
PubMed Central ID | PMC6246058 |