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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

 


MUDr. Hynek Jan
Poliklinika Masarykův dům
Palackého čp. 201
Trutnov, PSČ 541 01
Czech Republic


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