The Role of Dermoscopy in Rosacea Diagnosis. A Review of the Literature
DOI:
https://doi.org/10.35516/jmj.v59i3.4083الكلمات المفتاحية:
Dermoscopy، Rosacea Diagnosisالملخص
Background. Rosacea is a chronic inflammatory skin disorder that manifests as persistent facial redness, papules, and pustules on the background of telangiectasia. Diagnosing it is often challenging because its symptoms overlap with skin conditions like seborrheic dermatitis and acne. Accurate diagnosis is important for effective management.
Aims. This review aims to assess the role of dermoscopy as a non-invasive diagnostic tool in improving the accuracy of rosacea diagnosis and its subtypes.
Materials and Methods. The review focuses on the characteristic follicular and vascular features detectable through dermoscopy and identifies key dermoscopic features of rosacea, such as polygonal vessels, follicular plugging, and Demodex mites. These findings were assessed in the context of differentiating between the various subtypes of rosacea, including papulopustular, erythematotelangiectatic, phymatous, and granulomatous.
Results. The review revealed that dermoscopy significantly enhances the diagnostic precision of rosacea by revealing specific vascular and follicular patterns that are otherwise difficult to detect through clinical observation alone—furthermore, dermoscopy aids in classifying rosacea into its specific subtypes. This improved diagnostic accuracy can lead to better clinical outcomes and more effective treatment monitoring for patients with rosacea.
المراجع
Rainer BM, Kang S, Chien AL. Rosacea: Epidemiology, pathogenesis, and treatment. Dermatoendocrinol. 2017 Oct 4;9(1):e1361574. doi: 10.1080/19381980.2017.1361574. PMID: 29484096; PMCID: PMC5821167.
Two AM, Wu W, Gallo RL, Hata TR. Rosacea: part I. Introduction, categorization, histology, pathogenesis, and risk factors. J Am Acad Dermatol. 2015 May;72(5):749-58; quiz 759-60. doi: 10.1016/j.jaad.2014.08.028. PMID: 25890455.
Ge L, Li Y, Wu Y, Fan Z, Song Z. Differential Diagnosis of Rosacea Using Machine Learning and Dermoscopy. Clin Cosmet Investig Dermatol. 2022; 15:1465-1473.
Alma, A., Sticchi, A., Chello, C., Guida, S., Farnetani, F., Chester, J., Bettoli, V., Pellacani, G., & Manfredini, M. (2022). Dermoscopy, reflectance confocal microscopy and optical coherence tomography features of acne: A systematic review. Journal of Clinical Medicine, 11(7), 1783.
Kim GW, Jung HJ, Ko HC, et al. “Dermoscopy can be useful in differentiating scalp psoriasis from seborrhoeic dermatitis.” British Journal of Dermatology. 2011;164(3):652-656.
Trave I, Micalizzi C, Gasparini G, Cozzani E, Parodi A. Dermoscopy of papulopustular rosacea and comparison of dermoscopic features in patients with or without concomitant Demodex folliculorum. Clin Exp Dermatol. 2021 Dec;46(8):1434-1440. doi: 10.1111/ced.14731. Epub 2021 Sep 6. PMID: 33987859.
Serarslan G, Makbule Kaya Ö, Dirican E. Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species. Dermatol Pract Concept. 2021 Jan 29;11(1): e2021139. doi: 10.5826/dpc.1101a139. PMID: 33614217; PMCID: PMC7875658
Friedman P, Sabban EC, Cabo H. Usefulness of dermoscopy in the diagnosis and monitoring treatment of demodicidosis. Dermatol Pract Concept. 2017; 7:35–8.
Errichetti E, Lallas A, De Marchi G, Apalla Z, Zabotti A, De Vita S, Stinco G. Dermoscopy in the differential diagnosis between malar rash of systemic lupus erythematosus and erythematotelangiectatic rosacea: an observational study. Lupus. 2019 Nov;28(13):1583-1588. doi: 10.1177/0961203319882493.
Fei W, Han Y, Li A, Li K, Ning X, Li C, Wang W, Meng R, Cui Y. Summarization and comparison of dermoscopic features on different subtypes of rosacea. Chin Med J (Engl). 2022 Jun 20;135(12):1444-1450.
Huang Y, He J, Zhang S, Tang Y, Wang B, Jian D, Xie H, Li J, Chen F, Zhao Z. A novel multi-layer perceptron model for assessing the diagnostic value of non-invasive imaging instruments for rosacea. Peer J. 2022 Aug 17;10: e13917.
Stefanou, Eleni & Gkentsidi, Theodosia & Spyridis, Ioannis & Errichetti, Enzo & Manoli, Sofia‐Magdalini & Papageorgiou, Chrysa & Apalla, Zoe & Vakirlis, Efstratios & Sotiriou, Elena & Ioannides, Dimitrios & Lallas, Aimilios. Dermoscopic spectrum of rosacea. JEADV Clinical Practice 2022. 1. 10.1002/jvc2.6.
Alin Laurentiu Tatu, Clinicodermoscopic correlations observed in a rosacea group of patients Journal of the American Academy of Dermatology, 2016 Volume 74, Issue 5, AB104
