Journal article
Standardization of dermoscopic terminology and basic dermoscopic parameters to evaluate in general dermatology (non-neoplastic dermatoses): an expert consensus on behalf of the International Dermoscopy Society.
- Errichetti E Institute of Dermatology, 'Santa Maria della Misericordia' University Hospital, Udine, Italy.
- Zalaudek I Department of Dermatology, University of Trieste, Trieste, Italy.
- Kittler H Department of Dermatology, Medical University of Vienna, Vienna, Austria.
- Apalla Z First Department of Dermatology, Aristotle University, Thessaloniki, Greece.
- Argenziano G Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy.
- Bakos R Department of Dermatology, Hospital de Clınicas de Porto Alegre, Porto, Alegre, Brazil.
- Blum A Public, Private and Teaching Practice of Dermatology, Konstanz, Germany.
- Braun RP Department of Dermatology, University Hospital Zürich, Zürich, Switzerland.
- Ioannides D First Department of Dermatology, Aristotle University, Thessaloniki, Greece.
- Lacarrubba F Dermatology Clinic, University of Catania, Catania, Italy.
- Lazaridou E Second Department of Dermatology-Venereology, Aristotle University Medical School, Thessaloniki, Greece.
- Longo C Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.
- Micali G Dermatology Clinic, University of Catania, Catania, Italy.
- Moscarella E Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy.
- Paoli J Department of Dermatology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
- Papageorgiou C First Department of Dermatology, Aristotle University, Thessaloniki, Greece.
- Russo T Dermatology Unit, University of Campania 'Luigi Vanvitelli', Naples, Italy.
- Scope A Medical Screening Institute, Sheba Medical Center and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
- Stinco G Institute of Dermatology, 'Santa Maria della Misericordia' University Hospital, Udine, Italy.
- Thomas L Department of Dermatology, Lyon University, Lyon, France.
- Toncic RJ Dermoscopy Unit, University of Zagreb, Zagreb, Croatia.
- Tschandl P Department of Dermatology, Medical University of Vienna, Vienna, Austria.
- Cabo H Dermatology Institute of Medical Research, University of Buenos Aires, Buenos Aires, Argentina.
- Hallpern A Memorial Sloan Kettering Cancer Center, Hauppauge, NY, U.S.A.
- Hofmann-Wellenhof R Department of Dermatology, Medical University of Graz, Graz, Austria.
- Malvehy J Melanoma Unit, Dermatology Department, Hospital Clinic Barcelona, Universitat de Barcelona IDIBAPS, Barcelona, Spain.
- Marghoob A Memorial Sloan Kettering Cancer Center, Hauppauge, NY, U.S.A.
- Menzies S Discipline of Dermatology, Sydney Medical School, The University of Sydney and Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
- Pellacani G Department of Dermatology, University of Modena and Reggio Emilia, Modena, Italy.
- Puig S Melanoma Unit, Dermatology Department, Hospital Clinic Barcelona, Universitat de Barcelona IDIBAPS, Barcelona, Spain.
- Rabinovitz H Skin and Cancer Associates, Plantation, FL, U.S.A.
- Rudnicka L Department of Dermatology, Medical University of Warsaw, Warsaw, Poland.
- Vakirlis E First Department of Dermatology, Aristotle University, Thessaloniki, Greece.
- Soyer P Dermatology Research Centre, The University of Queensland Diamantina Institute, Woolloongabba, QLD, Australia.
- Stolz W Department of Dermatology and Allergology and Environmental Medicine Clinic Thalkirchen, Hospital Munich, Munich, Germany.
- Tanaka M Department of Dermatology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
- Lallas A First Department of Dermatology, Aristotle University, Thessaloniki, Greece.
- 2019-05-12
Published in:
- The British journal of dermatology. - 2020
English
BACKGROUND
Over the last few years, several articles on dermoscopy of non-neoplastic dermatoses have been published, yet there is poor consistency in the terminology among different studies.
OBJECTIVES
We aimed to standardize the dermoscopic terminology and identify basic parameters to evaluate in non-neoplastic dermatoses through an expert consensus.
METHODS
The modified Delphi method was followed, with two phases: (i) identification of a list of possible items based on a systematic literature review and (ii) selection of parameters by a panel of experts through a three-step iterative procedure (blinded e-mail interaction in rounds 1 and 3 and a face-to-face meeting in round 2). Initial panellists were recruited via e-mail from all over the world based on their expertise on dermoscopy of non-neoplastic dermatoses.
RESULTS
Twenty-four international experts took part in all rounds of the consensus and 13 further international participants were also involved in round 2. Five standardized basic parameters were identified: (i) vessels (including morphology and distribution); (ii) scales (including colour and distribution); (iii) follicular findings; (iv) 'other structures' (including colour and morphology); and (v) 'specific clues'. For each of them, possible variables were selected, with a total of 31 different subitems reaching agreement at the end of the consensus (all of the 29 proposed initially plus two more added in the course of the consensus procedure).
CONCLUSIONS
This expert consensus provides a set of standardized basic dermoscopic parameters to follow when evaluating inflammatory, infiltrative and infectious dermatoses. This tool, if adopted by clinicians and researchers in this field, is likely to enhance the reproducibility and comparability of existing and future research findings and uniformly expand the universal knowledge on dermoscopy in general dermatology. What's already known about this topic? Over the last few years, several papers have been published attempting to describe the dermoscopic features of non-neoplastic dermatoses, yet there is poor consistency in the terminology among different studies. What does this study add? The present expert consensus provides a set of standardized basic dermoscopic parameters to follow when evaluating inflammatory, infiltrative and infectious dermatoses. This consensus should enhance the reproducibility and comparability of existing and future research findings and uniformly expand the universal knowledge on dermoscopy in general dermatology.
Over the last few years, several articles on dermoscopy of non-neoplastic dermatoses have been published, yet there is poor consistency in the terminology among different studies.
OBJECTIVES
We aimed to standardize the dermoscopic terminology and identify basic parameters to evaluate in non-neoplastic dermatoses through an expert consensus.
METHODS
The modified Delphi method was followed, with two phases: (i) identification of a list of possible items based on a systematic literature review and (ii) selection of parameters by a panel of experts through a three-step iterative procedure (blinded e-mail interaction in rounds 1 and 3 and a face-to-face meeting in round 2). Initial panellists were recruited via e-mail from all over the world based on their expertise on dermoscopy of non-neoplastic dermatoses.
RESULTS
Twenty-four international experts took part in all rounds of the consensus and 13 further international participants were also involved in round 2. Five standardized basic parameters were identified: (i) vessels (including morphology and distribution); (ii) scales (including colour and distribution); (iii) follicular findings; (iv) 'other structures' (including colour and morphology); and (v) 'specific clues'. For each of them, possible variables were selected, with a total of 31 different subitems reaching agreement at the end of the consensus (all of the 29 proposed initially plus two more added in the course of the consensus procedure).
CONCLUSIONS
This expert consensus provides a set of standardized basic dermoscopic parameters to follow when evaluating inflammatory, infiltrative and infectious dermatoses. This tool, if adopted by clinicians and researchers in this field, is likely to enhance the reproducibility and comparability of existing and future research findings and uniformly expand the universal knowledge on dermoscopy in general dermatology. What's already known about this topic? Over the last few years, several papers have been published attempting to describe the dermoscopic features of non-neoplastic dermatoses, yet there is poor consistency in the terminology among different studies. What does this study add? The present expert consensus provides a set of standardized basic dermoscopic parameters to follow when evaluating inflammatory, infiltrative and infectious dermatoses. This consensus should enhance the reproducibility and comparability of existing and future research findings and uniformly expand the universal knowledge on dermoscopy in general dermatology.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1111/bjd.18125
- PMID 31077336
- Persistent URL
- https://sonar.ch/global/documents/74109
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