AAD
Author: Willhemenia Loremipsum Special session: Lorem ipsum dolor sit amet Category: Lorem ipsum View all results

Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.

  • Presentation

Infectious Dermoscopy 2024

Description

The presentation, led by a dermatologist and dermoscopy enthusiast, discusses infectious cutaneous diseases, highlighting their increasing prevalence due to climate change. Dermoscopy is emphasized as a crucial, low-risk diagnostic tool that can improve diagnostic accuracy while minimizing cross-contamination risks. The speaker presents various cases, including infectious conditions like syphilitic alopecia and dermatosis linked to scabies, highlighting dermoscopy’s role in identifying and differentiating these conditions from other dermatological issues. Key points include the rise of syphilis cases and the need for vigilant clinical evaluation, especially as syphilis resurges to historical highs. The talk also details the histopathological features and dermoscopic findings of both syphilitic alopecia and other infections, demonstrating practical applications of these diagnostic methods. The audience learns about the importance of correlation between clinical findings and histopathology to establish appropriate treatments, especially in immunocompromised patients. Furthermore, the speaker emphasizes the utility of non-contact dermoscopy in examining skin conditions linked to various pathogens, including bacterial and fungal infections, and discusses practical treatment strategies based on these findings. In summary, the presentation underscores the importance of being proactive and well-informed in identifying infectious dermatological conditions using modern diagnostic tools.

View more

Conclusions

  • Infectious cutaneous diseases are becoming more common due to climate change, resulting in increased vector-borne illnesses and fungal infections.
  • Dermoscopy is a valuable tool for improving diagnostic accuracy in dermatology, especially for infectious conditions.
  • Cross-contamination during dermoscopy is a concern, and proper hygiene like using disposable covers is crucial.
  • Syphilitic alopecia presents with distinct dermoscopic features that differentiate it from other forms of alopecia, such as alopecia areata.
  • There is a resurgence of syphilis cases in the US, necessitating vigilance from dermatologists in diagnosing and managing the infection.
  • Routine screening for syphilis in at-risk populations is recommended, highlighting the importance of dermatologists in public health.
  • Immunocompromised patients may exhibit atypical presentations of infections, necessitating clinical-pathological correlation for effective management.
  • Larval tick infestations can lead to widespread pruritic papules and pustules that need careful dermoscopic assessment to avoid misdiagnosis.
  • Dermoscopy aids in identifying parasitic infestations like head lice and scabies, which may present atypically due to changing grooming habits.
  • Schachtel A, Boos MD. Pediatric dermatology and climate change: An argument for the pediatric subspecialist as public health advocate. Pediatr Dermatol. 2019 Jul;36(4):564-566.
  • Penso-Assathiany D, Gheit T, Prétet JL, Aubin A, Massimo T, Mougin C, et al. Presence and persistence of human papillomavirus types 1, 2, 3, 4, 27, and 57 on dermoscope before and after examination of plantar warts and after cleaning. J Am Acad Dermatol. 2013;68:185-6.
  • Dermatol Pract Concept. 2017 Jul; 7(3): 55-59.
  • Tognetti L, Sbano P, Fimiani M, Rubegni P. Dermoscopy of Biett's sign and differential diagnosis with annular maculo-papular rashes with scaling. Indian J Dermatol Venereol Leprol 2017;83:270-273.
  • Amerson EH, Castillo Valladares HB, Leslie KS. Resurgence of Syphilis in the US-USPSTF Reaffirms Screening Guidelines. JAMA Dermatol. 2022;158(11):1241-1243. doi:10.1001/jamadermatol.2022.3499.
  • Hellyer P. Monkeypox mucocutaneous lesions. Br Dent J. 2022 Oct;233(7):561.
  • The Journal of Dermatology, Volume: 51, Issue: 3, Pages: e81-e82, First published: 08 November 2023, DOI: (10.1111/1346-8138.17003).
  • Sonthalia S, Agrawal M, Bhatia J, et al. Indian Dermatol Online J. 2021;12(2):220-236.
  • Dholakia S, Buckler J, Jeans JP, Pillai A, Eagles N, Dholakia S. Pubic lice: an endangered species? Sex Transm Dis. 2014 Jun;41(6):388-91.
  • Ma Y, Hu W, Wang P, Bian K, Liu Z. Dermoscopy combined with ink staining as one more method to diagnose nodular scabies. Indian J Dermatol Venereol Leprol. 2019;85:324-5.