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Dong, H; Shu, D; Campbell, TM; Frühauf, J; Soyer, P; Hofmann-Wellenhof, R.
Dermatoscopy of genital warts.
J Am Acad Dermatol. 2011; 64(5): 859-864.
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Autor/innen der Med Uni Graz:
Frühauf Julia
Hofmann-Wellenhof Rainer
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Abstract:
Background: Genital warts may mimic a variety of conditions, thus complicating their diagnosis and treatment. The recognition of early flat lesions presents a diagnostic challenge. Objective: We sought to describe the dermatoscopic features of genital warts, unveiling the possibility of their diagnosis by dermatoscopy. Methods: Dermatoscopic patterns of 61 genital warts from 48 consecutively enrolled male patients were identified with their frequencies being used as main outcome measures. Results: The lesions were examined dermatoscopically and further classified according to their dermatoscopic pattern. The most frequent finding was an unspecific pattern, which was found in 15/61 (24.6%) lesions; a fingerlike pattern was observed in 7 (11.5%), a mosaic pattern in 6 (9.8%), and a knoblike pattern in 3 (4.9%) cases. In almost half of the lesions, pattern combinations were seen, of which a fingerlike/knoblike pattern was the most common, observed in 11/61 (18.0%) cases. Among the vascular features, glomerular, hairpin/dotted, and glomerular/dotted vessels were the most frequent finding seen in 22 (36.0%), 15 (24.6%), and 10 (16.4%) of the 61 cases, respectively. In 10 (16.4%) lesions no vessels were detected. Hairpin vessels were more often seen in fingerlike (chi 2 = 39.31, P = .000) and glomerular/dotted vessels in knoblike/mosaic (chi(2) = 9.97, P = .008) pattern zones; vessels were frequently missing in unspecified (chi(2) = 8.54, P = .014) areas. Limitations: Only male patients were examined. Conclusions: There is a correlation between dermatoscopic patterns and vascular features reflecting the life stages of genital warts; dermatoscopy may be useful in the diagnosis of early-stage lesions. (J Am Acad Dermatol 2011;64:859-64.)
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Condylomata Acuminata - diagnosis
Dermoscopy -
Diagnosis, Differential -
Humans -
Lichen Planus - diagnosis
Male -
Middle Aged -
Young Adult -

Find related publications in this database (Keywords)
dermatology
dermatoscopy
genital warts
human papillomavirus
pattern analysis
sexually transmitted disease
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