RESUMO
Diagnosis of genital inflammatory disorders may be difficult for several reasons, such as their similar appearance, possible misdiagnosis with infectious and malignant conditions, and peculiar anatomic conditions that may lead to modification of clinical features. Dermoscopy could be included as a part of the clinical inspection of genital diseases to support diagnosis, as well as to ideally avoid unnecessary invasive investigation. Practical guidance for the use of dermoscopy in the assessment of the main inflammatory genital diseases is provided, namely for lichen sclerosus, lichen planus, psoriasis, lichen simplex chronicus, and plasma cell mucositis.
Assuntos
Dermoscopia , Doenças Urogenitais Femininas/diagnóstico por imagem , Doenças dos Genitais Masculinos/diagnóstico por imagem , Neoplasias Cutâneas/diagnóstico por imagem , Balanite Xerótica Obliterante/diagnóstico por imagem , Feminino , Neoplasias dos Genitais Femininos/diagnóstico por imagem , Neoplasias dos Genitais Masculinos/diagnóstico por imagem , Humanos , Líquen Plano/diagnóstico por imagem , Masculino , Mucosite/diagnóstico por imagem , Mucosite/patologia , Neurodermatite/diagnóstico por imagem , Psoríase/diagnóstico por imagem , Líquen Escleroso Vulvar/diagnóstico por imagemRESUMO
Abstract: Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. On the scalp, it appears as a single or multiple oval lesions, showing scaling and hair shaft loss or breakage. An important dermoscopic feature of the disease are the "broom fibers." Histopathology reveals the "hamburger" and the "gear wheel" signs. The aim of this report is to demonstrate a case of lichen simplex chronicus on the scalp with typical and exuberant clinical, dermoscopic, and histopathological findings.