Images in Dermatology
Dermoscopic pattern of Kyrle's disease
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A 4-zonal concentric pattern including a crust in the center of the lesion, surrounded with a keratotic scale (black arrow); a structureless whitish-gray area (dark-red arrow); a structureless pink area (blue arrow) including dotted vessels (red circles); a structureless brown area with a peripheral scale (green arrow). (B) Schematic illustration of the lesions in Kyrle's Disease.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The clinical diagnosis of Kyrle's disease may sometimes be challenging, due to the clinical similarity of lesions to other pruritic dermatosis. With the increasing use of dermoscopy in daily practice, some dermoscopic patterns are useful for the recognition of this spectrum of skin disorders in recent publications.<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1–7</span></a> However, there is insufficient data in literature describing the dermoscopic patterns of Kyrle's disease, since only one report has been published to date.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> Herein we report our dermoscopic observation with additional diagnostic tips in a case who was diagnosed with Kyrle's disease histopathologically.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 61-year-old women presented with a 1 month history of pruritic lesions over the whole body. Her past medical history included type 2 diabetes mellitus and end stage renal disease on peritoneal dialysis. Physical examination revealed multiple, erythematous, excoriated umbilicated papules with central adherent keratotic plugs (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). Laboratory investigations showed elevated blood glucose and creatinine levels. A biopsy specimen obtained from the back revealed a cup shaped epidermal invagination containing degenerated collagen and elastic fibers with fibrin exudate (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The absence of hair structure and the presence of inflammatory debris within the invaginations were highly suggestive of Kyrle's disease. Dermoscopic examination revealed a 4-zonal concentric pattern including a crust in the center of the lesion, surrounded with a keratotic scale; a structureless whitish-gray area; a structureless pink area including dotted vessels; a structureless brown area with a peripheral scale (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>A).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Kyrle's disease is one of the rare variants of primary perforating disorders, characterized by transepidermal elimination of abnormal endogenous materials. The disease affects more commonly 30–50-year-old females, presents with pruritic hyperkeratotic and ulcerated nodules, and papules with a central keratotic plug mostly located on extensor surface of upper and lower limbs, and on the trunk. Although the exact pathogenesis remains unknown, its association has been reported sparsely with renal disorders, uremic patients on dialysis, diabetes mellitus, liver disease and paraneoplastic syndromes, tuberculosis and some fungal diseases.<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">8</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Over the last few years, dermoscopy has been shown to facilitate the clinical recognition of several dermatological disorders, thus reducing the number of biopsies. Recently, Russo et al. reported the dermoscopic findings of Kyrle's disease describing a 3-zonal concentric pattern, characterized by bright whitish-brownish scales in the center, a structureless whitish-gray area surrounding the central crusts, and a peripheral, brown, delicate pigmentation.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a> In our case of Kyrle's disease, we observed a 4-zonal concentric pattern with the addition of a pink structureless area containing dotted vessels, between the structureless whitish-gray area and peripheral, brown pigmentation. Moreover, a peripheral scale surrounding the peripheral brown pigmentation was also evident. We related the central crust to the debris that fill the erosion in the epidermis; the hypopigmented structureless area to the flattening of the dermoepidermal junction by epidermal invagination; the pink structureless area with dotted vessels to the active dermal inflammation and increased vascularity during the inflammation process; and the hyperpigmented structureless area to the melanocytes, inflammatory cells and increased pigmentation of the basal keratinocytes in inflammatory processes (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>B).</p><p id="par0025" class="elsevierStylePara elsevierViewall">In conclusion, we report an additional case of Kyrle's disease with its detailed dermoscopic features showing a strong correlation with the histological aspect of the disease. Although histopathology is still the gold standard exam for this dermatosis, the familiarity with the dermoscopic findings of perforating diseases should be increased with such reports to get more reliable clinical interpretation.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Financial support</span><p id="par0030" class="elsevierStylePara elsevierViewall">None declared.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Authors’ contributions</span><p id="par0035" class="elsevierStylePara elsevierViewall">Ozlem Ozbagcivan: Approval of the final version of the manuscript; elaboration and writing of the manuscript; intellectual participation in the propaedeutic and/or therapeutic conduct of the studied cases; critical review of the literature; critical review of the manuscript.</p><p id="par0040" class="elsevierStylePara elsevierViewall">Banu Lebe: Approval of the final version of the manuscript; obtaining, analysis, and interpretation of the data; critical review of the manuscript.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Emel Fetil: Approval of the final version of the manuscript; critical review of the manuscript.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">None declared.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:6 [ 0 => array:3 [ "identificador" => "xres1327255" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1223484" "titulo" => "Keywords" ] 2 => array:2 [ "identificador" => "sec0005" "titulo" => "Financial support" ] 3 => array:2 [ "identificador" => "sec0010" "titulo" => "Authors’ contributions" ] 4 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 5 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-03-11" "fechaAceptado" => "2019-07-06" "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1223484" "palabras" => array:4 [ 0 => "Dermoscopy" 1 => "Metabolic" 2 => "Pruritus" 3 => "Skin diseases" ] ] ] ] "tieneResumen" => true "resumen" => array:1 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The clinical diagnosis of Kyrle's disease may sometimes be challenging, due to the clinical similarity of lesions to other pruritic dermatosis. Although the dermoscopy is being increasingly used in daily practice, there is insufficient data in literature describing the dermoscopic patterns of Kyrle's disease, since only one report has been published to date. Herein we report our dermoscopic observation with additional diagnostic tips in a case who was diagnosed with Kyrle's disease histopathologically.</p></span>" ] ] "NotaPie" => array:2 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">How to cite this article: Ozbagcivan O, Lebe B, Fetil E. Dermoscopic pattern of Kyrle's disease. An Bras Dermatol. 2020;95:244–6.</p>" ] 1 => array:2 [ "etiqueta" => "☆☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Study conducted at the Department of Dermatology, Dokuz Eylul Universitesi, Balcova, Izmir, Turkey.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 799 "Ancho" => 905 "Tamanyo" => 83716 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Multiple, erythematous, excoriated umbilicated papules with central adherent keratotic plugs.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 682 "Ancho" => 905 "Tamanyo" => 234191 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A cup shaped epidermal invagination containing degenerated collagen and elastic fibers with fibrin exudate (Hematoxylin & eosin, ×10).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 691 "Ancho" => 2167 "Tamanyo" => 123180 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">(A) Dermoscopic image of a lesion in Kyrle's disease (non-polarized dermoscopy 40×). A 4-zonal concentric pattern including a crust in the center of the lesion, surrounded with a keratotic scale (black arrow); a structureless whitish-gray area (dark-red arrow); a structureless pink area (blue arrow) including dotted vessels (red circles); a structureless brown area with a peripheral scale (green arrow). (B) Schematic illustration of the lesions in Kyrle's Disease.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:8 [ 0 => array:3 [ "identificador" => "bib0045" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy of Kyrle disease" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "T. Russo" 1 => "V. Piccolo" 2 => "M. Mascolo" 3 => "S. Staibano" 4 => "R. Alfano" 5 => "G. Argenziano" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2016.02.1169" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2016" "volumen" => "75" "paginaInicial" => "e99" "paginaFinal" => "e101" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27543245" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0050" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy in general dermatology: a practical overview" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E. Errichetti" 1 => "G. Stinco" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dermatol Ther (Heidelb)" "fecha" => "2016" "volumen" => "6" "paginaInicial" => "471" "paginaFinal" => "507" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0055" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acquired perforating dermatosis: a clinical and dermatoscopic correlation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "M.K. Ramirez Fort" 1 => "F. Khan" 2 => "C.O. Rosendahl" 3 => "S.E. Mercer" 4 => "H. Shim Chang" 5 => "J.O. Levitt" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Dermatol Online J" "fecha" => "2013" "volumen" => "19" "paginaInicial" => "18958" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24010504" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0060" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopic findings in a case of reactive perforating collagenosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Kittisak" 1 => "M. Tanaka" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5826/dpc.0502a13" "Revista" => array:6 [ "tituloSerie" => "Dermatol Pract Concept" "fecha" => "2015" "volumen" => "5" "paginaInicial" => "75" "paginaFinal" => "77" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26114057" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0065" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy features of acquired reactive perforating collagenosis: a case series" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "E. Ormerod" 1 => "A. Atwan" 2 => "L. Intzedy" 3 => "N. Stone" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.5826/dpc.0804a11" "Revista" => array:6 [ "tituloSerie" => "Dermatol Pract Concept" "fecha" => "2018" "volumen" => "8" "paginaInicial" => "303" "paginaFinal" => "305" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30479861" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0070" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy and direct immunofluorescence findings of elastosis perforans serpiginosa" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J.L. Ramírez Bellver" 1 => "C. Bernárdez" 2 => "E. Macías" 3 => "L. Moya" 4 => "A.M. Molina Ruiz" 5 => "P. Cannata Ortiz" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/ced.12882" "Revista" => array:6 [ "tituloSerie" => "Clin Exp Dermatol" "fecha" => "2016" "volumen" => "41" "paginaInicial" => "667" "paginaFinal" => "670" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27378586" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0075" "etiqueta" => "7" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermoscopy of elastosis perforans serpiginosa: a useful tool to distinguish it from granuloma annulare" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "C. Navarrete Dechent" 1 => "C.d. Puerto" 2 => "S. Bajaj" 3 => "A.A. Marghoob" 4 => "S. González" 5 => "A. Jaque" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2015.02.1132" "Revista" => array:6 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2015" "volumen" => "73" "paginaInicial" => "e7" "paginaFinal" => "e9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26089077" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0080" "etiqueta" => "8" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acquired perforating dermatosis: clinicopathological study of 31 cases, emphasizing pathogenesis and treatment" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A.J. García Malinis" 1 => "E. Del Valle Sánchez" 2 => "M.P. Sánchez-Salas" 3 => "E. Del Prado" 4 => "C. Coscojuela" 5 => "Y. Gilaberte" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/jdv.14220" "Revista" => array:6 [ "tituloSerie" => "J Eur Acad Dermatol Venereol" "fecha" => "2017" "volumen" => "31" "paginaInicial" => "1757" "paginaFinal" => "1763" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28300323" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03650596/0000009500000002/v1_202004180640/S0365059620300398/v1_202004180640/en/main.assets" "Apartado" => array:4 [ "identificador" => "80631" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Dermatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/03650596/0000009500000002/v1_202004180640/S0365059620300398/v1_202004180640/en/main.pdf?idApp=UINPBA00008Z&text.app=https://clinics.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365059620300398?idApp=UINPBA00008Z" ]
| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 28 | 11 | 39 |
| 2024 Outubro | 147 | 73 | 220 |
| 2024 Setembro | 230 | 96 | 326 |
| 2024 Agosto | 210 | 107 | 317 |
| 2024 Julho | 139 | 119 | 258 |
| 2024 Junho | 130 | 75 | 205 |
| 2024 Maio | 102 | 79 | 181 |
| 2024 Abril | 105 | 91 | 196 |
| 2024 Março | 96 | 66 | 162 |
| 2024 Fevereiro | 98 | 74 | 172 |
| 2024 Janeiro | 70 | 44 | 114 |
| 2023 Dezembro | 62 | 65 | 127 |
| 2023 Novembro | 93 | 77 | 170 |
| 2023 Outubro | 71 | 77 | 148 |
| 2023 Setembro | 66 | 74 | 140 |
| 2023 Agosto | 59 | 38 | 97 |
| 2023 Julho | 55 | 34 | 89 |
| 2023 Junho | 70 | 42 | 112 |
| 2023 Maio | 60 | 22 | 82 |
| 2023 Abril | 51 | 18 | 69 |
| 2023 Março | 69 | 57 | 126 |
| 2023 Fevereiro | 56 | 27 | 83 |
| 2023 Janeiro | 62 | 54 | 116 |
| 2022 Dezembro | 60 | 34 | 94 |
| 2022 Novembro | 78 | 55 | 133 |
| 2022 Outubro | 63 | 48 | 111 |
| 2022 Setembro | 45 | 51 | 96 |
| 2022 Agosto | 49 | 51 | 100 |
| 2022 Julho | 47 | 57 | 104 |
| 2022 Junho | 49 | 50 | 99 |
| 2022 Maio | 44 | 50 | 94 |
| 2022 Abril | 39 | 51 | 90 |
| 2022 Março | 47 | 64 | 111 |
| 2022 Fevereiro | 33 | 32 | 65 |
| 2022 Janeiro | 49 | 74 | 123 |
| 2021 Dezembro | 45 | 55 | 100 |
| 2021 Novembro | 52 | 59 | 111 |
| 2021 Outubro | 56 | 80 | 136 |
| 2021 Setembro | 47 | 57 | 104 |
| 2021 Agosto | 42 | 49 | 91 |
| 2021 Julho | 39 | 43 | 82 |
| 2021 Junho | 39 | 61 | 100 |
| 2021 Maio | 47 | 93 | 140 |
| 2021 Abril | 96 | 269 | 365 |
| 2021 Março | 60 | 48 | 108 |
| 2021 Fevereiro | 14 | 17 | 31 |
| 2021 Janeiro | 17 | 16 | 33 |
| 2020 Dezembro | 31 | 24 | 55 |
| 2020 Novembro | 15 | 10 | 25 |
| 2020 Outubro | 11 | 9 | 20 |
| 2020 Setembro | 18 | 7 | 25 |
| 2020 Agosto | 21 | 4 | 25 |
| 2020 Julho | 15 | 8 | 23 |
| 2020 Junho | 16 | 14 | 30 |
| 2020 Maio | 15 | 13 | 28 |
| 2020 Abril | 3 | 3 | 6 |
| 2020 Fevereiro | 0 | 2 | 2 |
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