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Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma

Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma skINsight SECTION EDITOR: JAMES M. GRICHNIK, MD, PhD; ASSISTANT SECTION EDITORS: ASHFAQ A. MARGHOOB, MD; ALON SCOPE, MD Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma Gabriel Salerni, MD; Carlos Alonso, MD; Ramo´n Ferna´ndez Bussy, MD; Hospital Provincial del Centenario and Universi- dad Nacional de Rosario, Rosario, Santa Fe, Argentina HE PRESENCE OF CRYSTALLINE STRUCTURES evaluation revealed the presence of orthogonal, linear, on polarized light dermoscopy has been bright white structures that corresponded to crystalline described in lesions with an increased structures (circles) in the absence of the classic dermo- amount of collagen, such as dermatofi- scopic criteria of BCC. In Figure, C, the rosette sign was T broma, scars, melanoma, Spitz nevi, and also observed. When the diagnosis is uncertain, a bi- basal cell carcinoma (BCC). These structures are not vis- opsy should be considered to rule out melanoma or BCC ible to the unaided eye, and they do not appear in non- in any case involving a lesion that displays crystalline 2,3 polarized contact dermoscopic images. structures. The lesions shown in this article correspond to his- 1. Marghoob AA, Cowell L, Kopf AW, Scope A. Observation of chrysalis struc- tologically confirmed http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma

Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma

Abstract

skINsight SECTION EDITOR: JAMES M. GRICHNIK, MD, PhD; ASSISTANT SECTION EDITORS: ASHFAQ A. MARGHOOB, MD; ALON SCOPE, MD Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma Gabriel Salerni, MD; Carlos Alonso, MD; Ramo´n Ferna´ndez Bussy, MD; Hospital Provincial del Centenario and Universi- dad Nacional de Rosario, Rosario, Santa Fe, Argentina HE PRESENCE OF CRYSTALLINE STRUCTURES evaluation revealed the presence of orthogonal, linear, on...
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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/archdermatol.2011.2114
pmid
22710474
Publisher site
See Article on Publisher Site

Abstract

skINsight SECTION EDITOR: JAMES M. GRICHNIK, MD, PhD; ASSISTANT SECTION EDITORS: ASHFAQ A. MARGHOOB, MD; ALON SCOPE, MD Crystalline Structures as the Only Dermoscopic Clue for the Diagnosis of Basal Cell Carcinoma Gabriel Salerni, MD; Carlos Alonso, MD; Ramo´n Ferna´ndez Bussy, MD; Hospital Provincial del Centenario and Universi- dad Nacional de Rosario, Rosario, Santa Fe, Argentina HE PRESENCE OF CRYSTALLINE STRUCTURES evaluation revealed the presence of orthogonal, linear, on polarized light dermoscopy has been bright white structures that corresponded to crystalline described in lesions with an increased structures (circles) in the absence of the classic dermo- amount of collagen, such as dermatofi- scopic criteria of BCC. In Figure, C, the rosette sign was T broma, scars, melanoma, Spitz nevi, and also observed. When the diagnosis is uncertain, a bi- basal cell carcinoma (BCC). These structures are not vis- opsy should be considered to rule out melanoma or BCC ible to the unaided eye, and they do not appear in non- in any case involving a lesion that displays crystalline 2,3 polarized contact dermoscopic images. structures. The lesions shown in this article correspond to his- 1. Marghoob AA, Cowell L, Kopf AW, Scope A. Observation of chrysalis struc- tologically confirmed

Journal

JAMA DermatologyAmerican Medical Association

Published: Jun 1, 2012

References

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