Dermoscopic features of basal cell carcinoma in skin of color: A retrospective cross-sectional study from Puducherry, South India

dc.contributor.authorBehera, Biswanathen_US
dc.contributor.authorKumari, Rashmien_US
dc.contributor.authorThappa, Devinder Mohanen_US
dc.contributor.authorGochhait, Debasisen_US
dc.contributor.authorSrinivas, Bheemanathi Hanumanen_US
dc.contributor.authorAyyanar, Pavithraen_US
dc.date.accessioned2023-08-10T07:30:53Z
dc.date.available2023-08-10T07:30:53Z
dc.date.issued2023-04
dc.description.abstractBackground: Dermoscopy is useful in the diagnosis of basal cell carcinoma (BCC). However, most descriptions of the dermoscopic features of BCCs are in Caucasians (skin types I-III) and there is a paucity of data in dark-skinned Indian patients. Aims: The aim of this study was to describe the various dermoscopic features of BCC in dark-skinned patients from South India and correlate these with the histopathologic subtypes. Methods: A retrospective observational study of biopsy-proven cases of BCC was conducted at a tertiary care center in South India using nonpolarized contact dermoscopy. Results: Sixty BCCs in 35 patients predominantly of skin phototypes IV or V were studied. These included 32 nodular, 27 superficial and 1 infiltrative type of BCC. The most common dermoscopic features noted were maple leaf-like areas (61.7%), blue-white veils (53.4%), ulceration (48.4%) and short fine telangiectases (46.7%). Ulceration, blue-white veils and arborizing vessels were significantly associated with nodular BCCs, while maple leaf-like areas, red-white structureless areas, multiple small erosions and spoke wheel areas were noted with superficial BCCs. Limitations: The limitations of this study include its retrospective nature, the use of only nonpolarized light for examination, the lack of other histopathological variants of BCC as well as the lack of a comparison group. Conclusion: We report a dermoscopic study of BCC in dark-skinned patients from Puducherry, South India. The blue-white veil was observed in half of the patients and was significantly associated with nodular BCCs. The addition of the blue-white veil to the diagnostic criteria for pigmented BCC could improve the diagnostic accuracy of dermoscopy in Indian patients.en_US
dc.identifier.affiliationsDepartment of Dermatology, and Venereology AIIMS, Bhubaneswar, Odisha, Departments ofen_US
dc.identifier.affiliationsDermatology, Venereology and Leprology anden_US
dc.identifier.affiliationsPathology, JIPMER, Puducherryen_US
dc.identifier.affiliationsDepartment of Pathology, AIIMS, Bhubaneswar, Odishaen_US
dc.identifier.citationBehera, Biswanathen_US
dc.identifier.citationKumari, Rashmien_US
dc.identifier.citationThappa, Devinder Mohanen_US
dc.identifier.citationGochhait, Debasisen_US
dc.identifier.citationSrinivas, Bheemanathi Hanumanen_US
dc.identifier.citationAyyanar, Pavithra. Dermoscopic features of basal cell carcinoma in skin of color: A retrospective cross-sectional study from Puducherry, South India. Indian Journal of Dermatology, Venereology and Leprology. 2023 Apr; 89(2): 254-260en_US
dc.identifier.issn0973-3922
dc.identifier.issn0378-6323
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223120
dc.languageenen_US
dc.publisherScientific Scholaren_US
dc.relation.issuenumber2en_US
dc.relation.volume89en_US
dc.source.urihttps://doi.org/10.25259/IJDVL_420_20en_US
dc.subjectBasal cell carcinomaen_US
dc.subjectblue-white veilen_US
dc.subjectdark skinen_US
dc.subjectdermoscopyen_US
dc.titleDermoscopic features of basal cell carcinoma in skin of color: A retrospective cross-sectional study from Puducherry, South Indiaen_US
dc.typeJournal Articleen_US
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