Reflectance Confocal Microscopy Features of Focal Dermal Mucinosis Differ from Those Described for Basal Cell Carcinoma: Report of Two Cases

Naiara Abreu Fraga-Braghiroli, Miesha Merati, Harold Rabinovitz, David Swanson, Alon Scope

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The purpose of this study was to describe the reflectance confocal microscopy (RCM) features of focal dermal mucinosis (FDM). The entity clinically and dermatoscopically mimics other diagnostic entities, most notably nonpigmented basal cell carcinoma. We describe two cases that highlight the dermatoscopic, RCM and histopathological attributes of FDM. RCM features such as dermal foci of dense collagen bundles oriented in the same direction, foci of haphazardly oriented thin collagen fibers separated by dark structureless areas and the absence of dark silhouettes and tumor islands are clues for FDM diagnosis. The FDM cases described here present consistent and particular RCM findings that appear to correlate well with the histopathological features of FDM. Therefore, RCM is a promising technology in diagnosing skin lesions and it use can avoid invasive procedures.

Original languageEnglish (US)
Pages (from-to)326-329
Number of pages4
JournalDermatology
Volume231
Issue number4
DOIs
StatePublished - Nov 3 2015

Keywords

  • Dermatoscopy
  • Focal dermal mucinosis
  • Reflectance confocal microscopy

ASJC Scopus subject areas

  • Dermatology

Fingerprint Dive into the research topics of 'Reflectance Confocal Microscopy Features of Focal Dermal Mucinosis Differ from Those Described for Basal Cell Carcinoma: Report of Two Cases'. Together they form a unique fingerprint.

  • Cite this