Dermoscopy and
teledermoscopy
- jumping into the future -
Dermoscopic features of pigmented lesions
By dermoscopy, the
pigmentation of the lesion is evaluated in terms of colour(s)
and structure.
Colours found in pigmented skin lesions include black, brown,
red, blue, grey, yellow and white. Characteristics of the
structure of the skin lesions include:
Symmetry or asymmetry
Homogeny/uniformity (sameness) or heterogeny (structural
differences across the lesion)
Distribution of pigment: network, pseudonetwork, blotches, dots,
globules, cobblestoning, ovoid masses
Skin surface keratin: milia, crypts, fissures
Vascular pattern: regular or irregular
Border of the lesion: fading or sharply cut off
Presence of ulceration
There are specific dermoscopic patterns that aid in the
diagnosis of the following pigmented skin lesions:
 |
 |
 |
|
Early melanoma |
Benign lentigo
|
Benign
melanocytic naevus |