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Dermoscopy of Seborrheic Keratosis Dermatitis

Seborrheic keratosis dermatitis is a common skin hyperplasia. It is often mistaken for a disease such as skin cancer because of its appearance that looks like warts, precancerous skin growths, or skin cancer. Dermoscopy of seborrheic keratosis dermatitis is crucial to identify seborrhei keratosis from other types of skin diseases. What is Seborrheic Keratosis Dermatitis?Seborrheic…

Seborrheic keratosis dermatitis is a common skin hyperplasia. It is often mistaken for a disease such as skin cancer because of its appearance that looks like warts, precancerous skin growths, or skin cancer. Dermoscopy of seborrheic keratosis dermatitis is crucial to identify seborrhei keratosis from other types of skin diseases.

What is Seborrheic Keratosis Dermatitis?
Seborrheic keratosis dermatitis is a kind of benign epidermal hyperplasia caused by keratinocyte hyperplasia. Seborrheic keratosis dermatitis is a type of non-cancerous benign of skin disease. Seborrheic keratosis dermatitis is harmless.
Seborrheic keratosis dermatitis is known as senile warts, senile spots, also known as basal cell papilloma. Because it mainly occurs in adults over the age of 40, it often appears as people grow older.

What are the Clinical Feature of Seborrheic Keratosis Dermatitis?
Seborrheic keratosis dermatitis is painless and it usually appears brown, black, or light tan. Its growth appears waxy or scaly and is slightly raised. They can gradually appear on various parts of the body, mostly on the face, neck, chest, or back.

seborrheic keratosis

Why is It Necessary to Use a Dermoscopy of Seborrheic Keratosis Dermatitis?
Dermatoscope is a non-invasive technique that allows dermatologists to closely examine seborrheic keratosis dermatitis more accurately and precisely. Especially dermoscopy of seborrheic keratosis dermatitis greatly enhance the vision of some locations that hard-to-reach by naked eyes, such as details in lesions. Dermatoscope magnifys and brightens shapes and structures of lesions. Dermoscopy of seborrheic keratosis dermatitis increases the confidence of doctors and patients about the skin disease and avoids unnecessary anxiety and treatment. So it is really necessary to use a dermoscopy of seborrheic keratosis.

Typical Features of Dermoscopy of Seborrheic Keratosis Dermatitis
dermoscopy plays a crucial role in identifying seborrheic keratosis dermatitis. There are some typical features of dermoscopy of seborrheic keratosis dermatitis as below:
Special pattern: Typical “gyrigrain” or “fat-like” pattern.
Hair follicle openings: Visible hair follicle openings.
Structure: Edge ring structure, Light brown fingerprint-like parallel structures.
Prominent blood vessels: In some forms of seborrheic keratosis dermatitis, a halo of lobules surrounds tiny, hairpin-like capillaries.
Miliary cysts: These cysts may appear as small white stars or larger, yellowish turbidity.
Other features like: cracks/ridges, blue-gray balls, irregular crypts, weak or pseudo-network.
Dermoscopy of seborrheic keratosis dermatitis is very helpful and reliable for distinguish seborrheic keratosis dermatitis from other skin diseases.

How to differentiate between seborrheic keratosis dermatitis and melanoma?
Seborrheic kearatosis dermatitis will not transfer into melanoma. But both of seborrheic keratosis dermatitis and melanoma can be brown or black color, so the two can be easily be mistake from each other.
There are some important differences between seborrheic keratosis dermatitis and melanoma, from their numbers, appearances, locations causes, etc.

Comparison the apearances of seborrheic keratosis dermatitis and melanoma
Numbers: Seborrheic keratoses dermatitis: Seborrheic keratoses dermatitis often appear in numbers of two or more
Melanoma: Melanoma is usually appear in single.
Shapes: Seborrheic keratoses dermatitis: Seborrheic keratoses dermatitis usually shows round or oval shaped.
Melanoma: Irregular shape, asymmetry in shape is the typical features of melanoma.
Colors: Seborrheic keratoses dermatitis: Seborrheic keratoses dermatitis colors in light tan, brown, or black.
Melanoma: Melanoma is commonly display multiple colors like pink, red, white, blue or mixed color within the same one.
Size: Seborrheic keratosis dermatitis: Seborrheic keratosis dermatitis varies in size from very small to big, and its size will not changed as time goes on.
Melanoma: Melanoma is in bigger size than 1/4 inch, and its size will grow over time.
Surface: Seborrheic keratosis dermatitis: Seborrheic keratosis dermatitis has waxy or scaly surface, slightly elevated above the skin surface.
Melanoma: Melanoma tends to be smooth with blurred, ragged border.
Pain: Seborrheic keratosis dermatitis:Seborrheic keratosis dermatitis is painless
Melanoma: Some of melanoma feel hurt, while some of melanoma feel no any pain or discomfort.
Evolving: Seborrheic keratosis dermatitis:Seborrheic keratosis dermatitis maintains the same always.
Melanoma: Melanoma may looks different from its beginning, and it may change in its shape, size or color.

Comparison the locations of seborrheic keratosis dermatitis and melanoma
Seborrheic keratosis dermatitis: Seborrheic keratosis dermatitis mostly displays on the face, neck, chest, or back.
Melanoma: Melanoma Melanoma can appear in anywhere on the skin,mostly on chest, black, legs, arms, face, necks, and even eyes.

Comparison the causes of seborrheic keratosis dermatitis and melanoma
Causes: The primary risk factor for seborrheic keratoses is age. Other risk factors include: sunburn, skin irritation and friction, pregnancy, hormone therapy, some medications, genetic mutation, a family history of seborrheic keratosis

How is seborrheic keratosis dermatitis diagnosed?
To diagnose seborrheic keratosis dermatitis, skin doctors will get information from your family history of skin disease and take observation of it through a vision aiding tool called dermatoscope. Dermatoscope is a small handheld lighted medical microscope that allows a more precise and deeper view of skin diseases by high magnification and a powerful glare-free lighting system. If it is necessary, a biopsy will be needed for seborrheic keratosis.
People usually also take dermoscopy of seborrheic keratosis dermatitis for self-examination on skin. Any unusual findings or changes occur, have dermatologist checked for a further evaluation. Dermoscopy of seborrheic keratosis dermatitis plays a significant role in physical exam.

Application of dermoscopy of seborrheic keratosis dermatitis
A dermoscope is a main device used to examine skin diseases, like seborrheic keratosis dermatitis. In the diagnosis and treatment of seborrheic keratosis dermatitis, dermoscopy of seborrheic keratosis dermatitis is widely used in the following aspects:
Monitoring: For patients who have already been diagnosed with seborrheic keratosis dermatitis, dermoscopy can be used to monitor the whole process as time goes on. If any changes happen, a further step should be taken.
Feedback: Skin doctor can compare images from dermoscopy of seborrheic keratosis dermatitis over different times to assess the effectiveness of the treatment of seborrheic keratosis dermatitis and then decide if the treatment needs to be adjusted or not.
Treatment aid: When treating seborrheic keratosis dermatitis, images can be clearly and precisely showed by dermoscopy of seborrheic keratosis dermatitis. It greatly enhanced the patience of skin doctors and patients.

Seborrheic keratosis dermatitis is a harmless skin disease which will not cause skin cancer. But skin doctors should have it accurately diagnosed by dermoscope. Dermoscopy of seborrheic keratosis dermatitis is very important to differentiate seborrheic keratosis dermatitis from other skin diseases. Hence, skin doctors can remove seborrheic keratoss surely and safely for some aesthetic reasons.
It is vital to develop the habit of use of dermoscopy of seborrheic keratosis dermatitis. In addition, paying more attention to a regular skin examination is also necessary in our daily life. People should remain vigilant at all time to keep the health of the skin.

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How can dermoscopy images be captured?

Dermoscopy images can be captured and stored in different ways, such as: • Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.• Using a digital camera

Dermoscopy images can be captured and stored in different ways, such as:

• Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.
• Using a digital camera with dermoscopic adapter, there’s 49mm screw size camera adapter available to order now.

Compatible phone/tablet models:
All iPhone models, 95% Android phones, 90% tablet. For phone/tablet size in 5.25-14mm

Compatible camera models:
All camera with built 49mm filter screw, such as Canon EOS 70D, 80D, 90D; Canon EOS R7, R10, R50, R100; Canon M100, M200, M50, Mark II; Canon G7X Mark III, Sony ZV-1

How can I connect my phone to my dermatoscope?

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide. Smartphone Connector (1) Place phone adapter screw in the center of smartphone’s

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide.

Smartphone Connector

(1) Place phone adapter screw in the center of smartphone’s main camera.
(2) Screw magnet attachment on phone adapter.
(3) Put dermoscope’s back ring and magnet attachment together

Take The Best Images

You need to adjust the focus ring after the dermoscpe connected on smartphone to get the best images.

How can I clean my dermoscopy after usage?

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always follow the manufacturer’s instructions. However, some general steps are:

• Turn off and disconnect your dermoscopy from any power source or device.

• Wipe off any visible dirt or debris from the dermoscopy with a soft cloth or tissue.

• Disinfect the dermoscopy with an alcohol-based wipe or spray, or a disinfectant solution recommended by the manufacturer. Make sure to cover all surfaces, especially the lens and contact plate.

• Let the dermoscopy air dry completely before storing it in a clean and dry place.

• Do not use abrasive or corrosive cleaners, solvents, or detergents that may damage the dermoscopy.

• Do not immerse the dermoscopy in water or any liquid, unless it is waterproof and designed for immersion.

You should clean your dermoscopy after each use, or at least once a day if you use it frequently. You should also check your dermoscopy regularly for any signs of damage or malfunction, and contact the manufacturer or service provider if needed.

Polarized VS Non-polarized Dermoscopy

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can improve the diagnose accuracy of skin lesions, such as melanoma,basal cell carcinoma, seborrheic keratosis, etc.

There are two main types of dermoscopy: Non polarized and polarized dermoscopy.We’ve fitted most of our dermoscopys with polarized and non-polarized light. They canbe used in multiple skin structures.

Non-polarized contact Mode

In non-polarized mode, the instrument can provide information about the superficialskin structures, such as milia-like cysts, comedo-like openings, and pigment in theepidemis.

The dermoscopy requires applying a liquid such as mineral oil or alcohol to the skin andplacing the lens in contact with the skin. This reduces surface reflection and enhancesthe view of subsurface structures.

Image with non-polarized light (DE-3100)

Polarized contact Mode

In polarized mode, the instrument allows for visualization for deeper skin structures,such as blood vessels, collagen, and pigment in the dermis.

The dermoscopy does not need to be in contact with the skin or use any liquid. Theirpolarized light can help to eliminate surface reflection and allow visualization ofvascular structures.

Image with polarized light (DE-3100)

Polarized non-contact Mode

The dermoscopy can also use polarized light to examine the skin without direct contact.

In polarized non-contact mode, the instrument allows for examination infected areasand lesions that are painful for the patient, or the difficult to contact pigmented lesions,such as nails and narrow areas.

The contact plate should be removed in this mode, and it does not require applying aliquid to the skin. As it doesn’t require pressure or fluid application on the skin, it canalso avoid cross-contamination and infection risk.

Image in polarized non-contact mode (DE-3100)

How effectiveness is dermoscopy

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination. The dermoscopy allows the

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination.

The dermoscopy allows the examination of skin lesions with magnification and illumination. This can be greatly avoiding the factors that cause interference to visual detection. Such as lighting, skin color, hair and cosmetics.

Several studies have demonstrated that dermoscopy is useful in the identification of melanoma, when used by a trained professional.

It may improve the accuracy of clinical diagnosis by up to 35%
It may reduce the number of harmless lesions that are removed
In primary care, it may increase the referral of more worrisome lesions and reduce the referral of more trivial ones

A 2018 Cochrane meta-analysis published the accuracy of dermoscopy in the detection.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 76 75 3.04 0.32
Dermoscopy with visual inspection (in person) 92 95 18 0.08
Image-based visual inspection alone (not in person) 47 42 0.81 1.3
Dermoscopy with image-based visual inspection (not in person) 81 82 4.5 0.23
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

As we can see, the dermoscope can improve the accuracy of diagnosis of skin lesions, especially melanoma.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 79 77 3.4 0.27
Dermoscopy with visual inspection (in person) 93 99 93 0.07
Image-based visual inspection alone (not in person) 85 87 6.5 0.17
Dermoscopy with image-based visual inspection (not in person) 93 96 23 0.07
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

Characteristics of the dermatoscopic structure of the skin lesions include:

• Symmetry or asymmetry
• Homogeny/uniformity (sameness) or heterogeny (structural differences across the lesion)
• Distribution of pigment: brown lines, dots, clods and structureless areas
• Skin surface keratin: small white cysts, crypts, fissures
• Vascular morphology and pattern: regular or irregular
• Border of the lesion: fading, sharply cut off or radial streaks
• Presence of ulceration

There are specific dermoscopic patterns that aid in the diagnosis of the following pigmented skin lesions:

• Melanoma
• Moles (benign melanocytic naevus)
• Freckles (lentigos)
• Atypical naevi
• Blue naevi
• Seborrhoeic keratosis
• Pigmented basal cell carcinoma
• Haemangioma

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