Description of the dermatoscopic features observed in sporotrichosis and American cutaneous leishmaniasis in a reference center in Rio de Janeiro, Brazil

España, Alejandra Galeano; Pimentel, Maria Inês Fernandes; Lyra, Janine Pontes de Miranda; Valete-Rosalino, Cláudia Maria; Lyra, Marcelo Rosandiski

doi:10.1016/j.abd.2022.09.015

Alejandra Galeano España ^⁎⁎ Corresponding author. E-mails: alejandra.galeano.87@gmail.com, marcelo.lyra@ini.fiocruz.br (A.G. España).

Contributed significantly to the conception and design of the study

data collection

analysis and interpretation of data

statistical analysis

article writing or critical review of important intellectual content

collection

analysis

and interpretation of data

effective participation in research guidance

intellectual participation in propaedeutic and/or therapeutic conduct of case studies

critical review of the literature

final approval of the final version of the manuscript.

Laboratory of Clinical Research and Surveillance in Leishmaniasis, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil

https://orcid.org/0000-0002-4312-0315

Maria Inês Fernandes Pimentel

Contributed significantly to the conception and design of the study

data collection

analysis and interpretation of data

statistical analysis

article writing or critical review of important intellectual content

collection

analysis and interpretation of data

effective participation in research guidance

intellectual participation in propaedeutic and/or therapeutic conduct of case studies

critical review of the literature

final approval of the final version of the manuscript.

Laboratory of Clinical Research and Surveillance in Leishmaniasis, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil

https://orcid.org/0000-0002-8159-0502

Janine Pontes de Miranda Lyra

Contributed significantly to the conception and design of the study

analysis and interpretation of data

article writing or critical review of important intellectual content

collection

analysis

and interpretation of data

critical review of the literature

final approval of the final version of the manuscript.

Department of Dermatology Center Izamar Millidiu Silva, Santo Cristo, Rio de Janeiro, RJ, Brazil

https://orcid.org/0000-0002-1673-5904

Cláudia Maria Valete-Rosalino

Contributed significantly to the conception and design of the study

data collection

analysis and interpretation of data

statistical analysis

collection

analysis and interpretation of data

effective participation in research guidance

Intellectual participation in propaedeutic and/or therapeutic conduct of case studies

final approval of the final version of the manuscript.

Laboratory of Clinical Research and Surveillance in Leishmaniasis, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil

Otolaryngology Department and Ophthalmology, Faculty of Medicine, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil

https://orcid.org/0000-0003-3110-9271

Marcelo Rosandiski Lyra

Contributed significantly to the conception and design of the study

data collection

analysis and interpretation of data

statistical analysis

article writing or critical review of important intellectual content

collection

analysis and interpretation of data

effective participation in research guidance

intellectual participation in propaedeutic and/or therapeutic conduct of case studies

critical review of the literature

final approval of the final version of the manuscript.

Laboratory of Clinical Research and Surveillance in Leishmaniasis, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil

https://orcid.org/0000-0001-6969-2234

⁎ Corresponding author. E-mails: alejandra.galeano.87@gmail.com, marcelo.lyra@ini.fiocruz.br (A.G. España).

Conflicts of interest

None declared.

Dermoscopy features	T₀			T₁			T₂
	CL n (%)	SP n (%)	p	CL n (%)	SP n (%)	p	CL n (%)	SP n (%)	p
General erythema	60 (82)	24 (100)	0.034^* * means p with statistical difference.	57 (91.9)	15 (93,8)	1	44 (72.1)	14 (70)	0.767
Microulcerations	53 (72.6)	14 (60.9)	0.306	32 (51.6)	10 (62.5)	0.576	12 (19.7)	4 (20)	1
Focal structureless white areas	53 (72.6)	20(87)	0.178	45 (72.6)	15 (93.8)	0.099	48 (78.7)	17 (85)	0.749
Hyperkeratosis	50 (68.5)	11 (47.8)	0.86	31 (50)	11 (68.8)	0.18	13 (21.3)	4 (20)	1
White lines	42 (57.5)	11 (47.8)	0.475	48 (77.4)	15 (93.8)	0.175	37 (60.7)	14 (70)	0.596
Fiber sign	42 (57.5)	10 (43.5)	0.337	13 (21)	5 (31.2)	0.506	1 (1.6)	0	∼
Central ulcer	36 (49.3)	15 (65.2)	2.33	18 (29)	7 (43.8)	0.368	1 (1.6)	0	∼
White dots	33 (45.2)	11 (47.8)	1	42 (67.7)	14 (87.5)	0.211	48 78.7)	13 (68.4)	0.369
Focal structureless yellow areas	29 (39.7)	9 (39.1)	1	11 (17.7)	2 (12.5)	1	6 (9.8)	2 (10)	1
White perilesional circle	27 (37)	4 (17.4)	0.124	3 (4.8)	1 (6.2)	1	1 (1.6)	0	∼
Follicular plugs	23 (31.5)	6 (26.1)	0.796	16 (25.8)	6 (37.5)	0.365	7 (11.5)	2 (10)	1
Rosettes	19 (26)	4 (17.4)	0.426	16 (25.8)	7 (43.8)	0.219	19 (31.1)	7 (35)	0.786
Structureless focal brown areas	18 (24.7)	8 (34.8)	0.421	25 (40.3)	7 (43.8)	1	38 (62.3)	14 (70)	0.6
Bleeding	17 (23.3)	6 (26.1)	1	6(9.7)	1(6.2)	1	0	0	∼
Crust	15 (20.5)	4 (17.4)	1	18 (29)	7 (43.8)	0.368	3 (4.9)	1 (5)	1
Rainbow pattern	13 (17.8)	3 (13)	0.754	17 (27.4)	7 (43.8)	0.234	27 (44.3)	12 (60)	0.303
Pustule	12 (16.4)	9 (39.1)	0.04^* * means p with statistical difference.	3 (4.8)	0	∼	0	0	∼
White starbust pattern	13 (17.8)	5 (21.7)	0.761	4 (6.5)	1 (6.2)	1	3 (4.9)	1 (5)	1
Yellow tears	11 (15.1)	0	∼	5 (8.1)	1 (6.2)	1	3 (4.9)	1 (5)	1
Black/brown dots	10 (13.7)	3 (13)	1	12 (19.4)	4 (25)	0.729	28 (45.9)	13 (65)	0.198
Perilesional hyperchromic circle	6 (8.2)	0	∼	11 (17.7)	2 (12.5)	1	10 (16.4)	3 (15)	1
Salmon-colored ovoid structures	4 (5.5)	1 (4.3)	1	9 (14.5)	1 (6.2)	0.678	13 (21.3)	4 (20)	1
Perilesional pigment	3 (4.1)	2 (8.7)	0.59	11 (17.7)	3 (18.8)	1	9 (14.8)	2 (10)	0.723
Inverted network	0	0	∼	2 (3.2)	0	∼	9 (14.8)	3 (15)	1
Strawberry pattern	5 (6.8)	2 (8.7)	0.672	4 (6.5)	0	0.576	2 (3.3)	0	∼
Brown lines	0	0	∼	0	0	∼	12 (19.7)	3 (15)	0.751
Comedon	0	0	∼	0	0	∼	0	8 (40)	∼

Vascular dermoscopy features	T₀			T₁			T₂
	CL n (%)	SP n (%)	p	CL n (%)	SP n (%)	p	CL n (%)	SP n (%)	p
Polymorphic vessel pattern	55 (75.3)	19 (82.6)	0.577	28 (45.2)	8 (50)	0.784	26 (42.6)	10 (50)	0.611
Dotted vessels	41 (56.2)	13 (56.5)	1	23 (37.1)	7 (43.8)	0.626	15 (24.6)	5 (25)	1
Glomerular vessels	44 (60.3)	13 (56.5)	0.81	29 (46.8)	8 (50)	1	17 (27.9)	7 (35)	0.544
Linear vessels	19 (26)	6 (26.1)	1	13 (21)	5 (31.2)	0.506	16 (26.2)	5 (25)	1
Linear vessels with branches	8 (11)	5 (21.7)	2.91	8 (12.9)	2 (12.5)	1	17 (27.9)	6 (30)	1
Corkscrew vessels	5 (6.8)	3 (13)	0.393	3 (4.8)	0	∼	0	0	∼
Comma vessels	2 (2.7)	1 (4.3)	0.565	8 (12.9)	2 (12.5)	1	1 (1.6)	0	∼
Irregular linear	25 (34.2)	15 (65.2)	0.14	7 (11.3)	2 (12.5)	1	22 (36.1)	8 (40)	0.793
Hairpin vessels	23 (32.5)	12 (52.2)	0.086	11 (17.7)	3 (18.8)	1	1 (1.16)	0	∼

Dermoscopic pattern	n (%)
CL-T₀ Central yellow scales with white perilesional circle	37 (50.7)
CL-T₁ Diffuse structureless white area pattern	34 (54.8)
CL-T₂ White and brown focal structureless areas pattern	44 (31.7)
SP-T₀ Pustule with erythema pattern	17 (70.8)
SP-T₁ Focal structureless white areas with erythema pattern	10 (62.5)
SP-T₂ White linear pattern	10 (55.6)

[1] ⁎ Corresponding author. E-mails: alejandra.galeano.87@gmail.com, marcelo.lyra@ini.fiocruz.br (A.G. España).

Brasil

Brasil

Abstract

Background

Objectives

Methods

Results

Study limitations

Conclusions