Document Detail

Dermoscopic evaluation of erythema associated with pressure ulcers.
MedLine Citation:
PMID:  21781065     Owner:  NLM     Status:  In-Data-Review    
Objective  To assess dermoscopic findings of "non-blanchable erythema" in stage I pressure ulcers and to determine their characteristics. Methods  Dermoscopic examinations using DermLite(®) II pro of redness over a bony prominence that did not resolve within 30 min of pressure relief or if a positional change was impossible for three days. Results  Characteristic dermoscopic findings of redness in stage I pressure ulcers included petechial dots and telangiectatic streaks while other discolorations disappeared by diascopy. These dermoscopic features were seen in 9 of 10 cases. In one case, purpura that persisted under dermoscope compression was observed. Likewise, petechial dots and telangiectatic streaks were detected in three cases with redness surrounding stage II pressure ulcers. Conclusion  The "non-blanchable erythema" in pressure ulcers consists of petechial dots, telangiectatic streaks and purpura that persist after compression by the dermoscope and these characteristics are helpful for dermoscopically diagnosing pressure ulcers.
Shigeki Inui; Hitoshi Ikegawa; Satoshi Itami
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of dermatology     Volume:  50     ISSN:  1365-4632     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  945-7     Citation Subset:  IM    
Copyright Information:
© 2011 The International Society of Dermatology.
From the Department of Regenerative Dermatology and Department of Traumatology and Acute Critical Medicine, Osaka University School of Medicine 2-2, G2, Yamadaoka, Suita-shi, Osaka 5650871, Japan.
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