Dermoscopy of apocrine hidrocystomas: a morphological study. (1st December 2012)

• Record Type: Journal Article
• Authors: Zaballos, P.; Bañuls, J.; Medina, C.; Salsench, E.; Serrano, P.; Guionnet, N.
• Is Part Of: Journal of the European Academy of Dermatology and Venereology. Volume 28:Number 3(2014:Mar.)
• Page Start: 378
• Page End: 381
• Publication Date: 2012-12-01
• Subjects: Dermatology -- Periodicals; Sexually transmitted diseases -- Periodicals; 616.5
• DOI: 10.1111/jdv.12044
• Languages: English
• ISSNs: 0926-9959

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <p> <bold>Background </bold> The dermoscopic morphology of apocrine hidrocystomas remains to be elucidated.</p> <p> <bold>Objective </bold> To evaluate the morphological findings of apocrine hidrocystomas under dermoscopic observation.</p> <p> <bold>Methods </bold> Dermoscopic examination of 22 cases of apocrine hidrocystomas was performed to evaluate specific dermoscopic criteria and patterns.</p> <p> <bold>Results </bold> The most frequently occurring dermoscopic features were found to be: (i) A translucent to opaque, homogeneous area which occupies the whole lesion in all apocrine hidrocystomas (100%). The colour of this homogeneous area was skin‐colored in 31.8% of our cases; yellow, in 31.8% and blue, in 22.7% of apocrine hidrocystomas. (ii) Vascular structures were identified in 81.8% of our cases; arborizing vessels, in 68.2% and linear‐irregular vessels in 9.1% of our cases; and (iii) Whitish structures were identified in 22.7% of the lesions. The results of our study reveal that the presence of a homogeneous area that occupies the whole lesion and arborizing vessels is the most common dermoscopic pattern in apocrine hidrocystomas (68.2%).</p> <p> <bold>Conclusion </bold> Apocrine hidrocystomas, above all in its pigmented variant, may represent a dermoscopic pitfall, being difficult to differentiate clinically and dermoscopically from basal cell carcinomas.</p> </abstract>