Cutaneous T-cell lymphoma in erythrodermic cases may be suspected on the basis of scalp examination with dermoscopy

• Published in: Scientific reports 2021-01, Vol.11 (1), p.282-282, Article 282
• Main Authors: Rakowska, Adriana, Jasińska, Magdalena, Sikora, Mariusz, Czuwara, Joanna, Gajda-Mróz, Patrycja, Warszawik-Hendzel, Olga, Kwiatkowska, Małgorzata, Waśkiel-Burnat, Anna, Olszewska, Małgorzata, Rudnicka, Lidia
• Format: Article
• Language: English
• Subjects: 631/67; 692/699; 692/699/4033; 692/699/67; Atopic dermatitis; Dermatitis; Eczema; Heterogeneity; Humanities and Social Sciences; Hyperpigmentation; Lymphocytes T; Lymphoma; multidisciplinary; Pili; Psoriasis; Scalp; Science; Science (multidisciplinary); Skin diseases; Spicules; T-cell lymphoma
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-020-78233-1

Erythrodermic variants of cutaneous T-cell lymphoma (CTLC) are one of the case of erythroderma. The aim of the study was to assess the value of scalp dermoscopy in differentiation between erythrodermic CTCL, psoriasis, and atopic dermatitis. A total of 76 patients were included into the study ( 16 patients with erythrodermic CTCL, 20 patients with psoriatic erythroderma, 20 with erythrodermic atopic dermatitis, and 20 healthy volunteers). The most common trichoscopic features of erythrodermic CTCL were: numerous pili torti , numerous broken hairs, white thick interfollicular bands, and patchy hyperpigmentation of the background. They were observed in 81% (13/16), 75% (12/16), 56% (9/16), and 37.5% (6/16) of patients with CTCL, respectively (p