A Delphi consensus on the nomenclature and diagnosis of lichen planus pigmentosus and related entities

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dc.contributor.authorSarkar, Rashmien_US
dc.contributor.authorVinay, Keshavamurthyen_US
dc.contributor.authorBishnoi, Anuradhaen_US
dc.contributor.authorPoojary, Shitalen_US
dc.contributor.authorGupta, Monishaen_US
dc.contributor.authorKumaran, Muthu Sendhilen_US
dc.contributor.authorJain, Akshayen_US
dc.contributor.authorGurumurthy, Chethanaen_US
dc.contributor.authorArora, Poojaen_US
dc.contributor.authorKandhari, Rajaten_US
dc.contributor.authorRathi, Sanjayen_US
dc.contributor.authorZawar, Vijayen_US
dc.contributor.authorGupta, Vishalen_US
dc.contributor.authorRavivarma, Vignesh Narayanen_US
dc.contributor.authorRodrigues, Michelleen_US
dc.contributor.authorParsad, Davinderen_US
dc.date.accessioned2023-08-10T07:30:56Z
dc.date.available2023-08-10T07:30:56Z
dc.date.issued2023-02
dc.description.abstractBackground: Although well known in clinical practice, research in lichen planus pigmentosus and related dermal pigmentary diseases is restricted due to lack of consensus on nomenclature and disease definition. Aims and Objectives: Delphi exercise to define and categorise acquired dermal pigmentary diseases. Methods: Core areas were identified including disease definition, etiopathogenesis, risk factors, clinical features, diagnostic methods, treatment modalities and outcome measures. The Delphi exercise was conducted in three rounds. Results: Sixteen researchers representing 12 different universities across India and Australia agreed to be part of this Delphi exercise. At the end of three rounds, a consensus of >80% was reached on usage of the umbrella term ‘acquired dermal macular hyperpigmentation’. It was agreed that there were minimal differences, if any, among the disorders previously defined as ashy dermatosis, erythema dyschromicum perstans, Riehl’s melanosis and pigmented contact dermatitis. It was also agreed that lichen planus pigmentosus, erythema dyschromicum perstans and ashy dermatosis did not differ significantly apart from the sites of involvement, as historically described in the literature. Exposure to hair colours, sunlight and cosmetics was associated with these disorders in a significant proportion of patients. Participants agreed that both histopathology and dermatoscopy could diagnose dermal pigmentation characteristic of acquired dermal macular hyperpigmentation but could not differentiate the individual entities of ashy dermatosis, erythema dyschromicum perstans, Riehl’s melanosis, lichen planus pigmentosus and pigmented contact dermatitis. Limitations: A wider consensus involving representatives from East Asian, European and Latin American countries is required. Conclusion: Acquired dermal macular hyperpigmentation could be an appropriate conglomerate terminology for acquired dermatoses characterised by idiopathic or multifactorial non-inflammatory macular dermal hyperpigmentationen_US
dc.identifier.affiliationsDepartment of Dermatology, Lady Hardinge Medical College, New Delhi, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, K. J. Somaiya Medical College, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Liverpool Hospital, The Skin Hospital, NSW, Conjoint University of NSW, Western Sydney University, Sydney, Australiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Venereology and Leprology, Government Medical College, Kota, Rajasthan, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, JSS Academy of Higher Education and Research, Mysore, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Dr RML Hospital and ABVIMS, New Delhi, Indiaen_US
dc.identifier.affiliationsDr. Kandhari’s Skin and Dental Clinic, New Delhi, Indiaen_US
dc.identifier.affiliationsDr. Rathi’s Skin Clinic, Siliguri, West Bengal, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology, Dr. Vasantrao Pawar Medical College, Nashik, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsChroma Dermatology, Pigment and Skin of Colour Centre, Melbourne, Australiaen_US
dc.identifier.citationSarkar, Rashmien_US
dc.identifier.citationVinay, Keshavamurthyen_US
dc.identifier.citationBishnoi, Anuradhaen_US
dc.identifier.citationPoojary, Shitalen_US
dc.identifier.citationGupta, Monishaen_US
dc.identifier.citationKumaran, Muthu Sendhilen_US
dc.identifier.citationJain, Akshayen_US
dc.identifier.citationGurumurthy, Chethanaen_US
dc.identifier.citationArora, Poojaen_US
dc.identifier.citationKandhari, Rajaten_US
dc.identifier.citationRathi, Sanjayen_US
dc.identifier.citationZawar, Vijayen_US
dc.identifier.citationGupta, Vishalen_US
dc.identifier.citationRavivarma, Vignesh Narayanen_US
dc.identifier.citationRodrigues, Michelleen_US
dc.identifier.citationParsad, Davinder. A Delphi consensus on the nomenclature and diagnosis of lichen planus pigmentosus and related entities. Indian Journal of Dermatology, Venereology and Leprology. 2023 Feb; 89(1): 41-46en_US
dc.identifier.issn0973-3922
dc.identifier.issn0378-6323
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223159
dc.languageenen_US
dc.publisherScientific Scholaren_US
dc.relation.issuenumber1en_US
dc.relation.volume89en_US
dc.source.urihttps://doi.org/10.25259/IJDVL_804_2021en_US
dc.subjectAcquired dermal macular hyperpigmentationen_US
dc.subjectashy dermatosisen_US
dc.subjectconsensusen_US
dc.subjecterythema dyschromia perstansen_US
dc.subjectlichen planus pigmentosusen_US
dc.titleA Delphi consensus on the nomenclature and diagnosis of lichen planus pigmentosus and related entitiesen_US
dc.typeJournal Articleen_US
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