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Practical Dermoscopy
Dermoscopic Features of Facial Trichilemmoma
Características dermatoscópicas del triquilemoma facial
B. Lozano-Masdemonta,
Autor para correspondencia
belenmasdemont@gmail.com

Corresponding author.
, I.M. de Lara Simónb, L. González Lópezb
a Servicio de Dermatología, Hospital General de Ciudad Real, Ciudad Real, Spain
b Servicio de Anatomía Patológica, Hospital General de Ciudad Real, Ciudad Real, Spain
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Case History</span><p id="par0005" class="elsevierStylePara elsevierViewall">An 84-year male patient with no medical history of interest presented with a single crusted facial nonhealing lesion of 1 year duration&#46; A 5<span class="elsevierStyleHsp" style=""></span>mm erythematous crusted papule was present in the left malar region &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; Dermoscopy &#40;with polarized light&#41; showed peripheral linear vessels arranged radially in a triangle formation&#44; hairpin vessels surrounded by reflective whitish areas&#44; and a central crusted and hyperkeratotic area &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B-C&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Pathology Study</span><p id="par0010" class="elsevierStylePara elsevierViewall">In the pathology study&#44; a well-defined neoplastic proliferation was observed in the superficial dermis in contact with the epidermis&#46; It was made up of squamous cells&#44; some with vacuolization&#44; with foci of keratinization and microcysts&#46; Focal erosion of the surface was present&#44; with a serohematic crust&#46; In addition&#44; the dermis showed a reactive lymphohistiocytic infiltrate with vascular dilation that also involved the periphery of the lesion &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; Diagnosis of trichilemmoma was established&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Comment</span><p id="par0015" class="elsevierStylePara elsevierViewall">Recently&#44; Horcajada-Reales et al&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">1</span></a> have reported the dermoscopic characteristics of trichilemmoma&#58; the red iris-like structures &#40;radial peripheral linear vessels with distal thickening&#44; taking on a triangular form&#41;&#59; reflective whitish areas surrounding those vessels&#59; and central hyperkeratotic masses &#40;the latter 2 already described by Lallas et al&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">2</span></a>&#41; In our case&#44; the vascular pattern only acquired a triangular form at the upper left axis of the lesion&#46; The keratin mass and the reflective whitish areas are related to squamous lobes of the neoplasm&#46; Dilated tumor vessels are located within the lesion&#44; explaining the vascular pattern&#46; The central crust&#44; which was clinically suggestive of basal cell carcinoma&#44; has not been described to date as a dermoscopic feature of trichilemmoma&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conflicts of Interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A Clinical image&#58; erythematous papule on the left cheek&#46; B&#44; Dermatoscopy &#40;with polarized light&#41;&#58; linear vessels arranged radially in a triangle formation and hairpin vessels surrounded by reflective whitish areas&#44; and a central crusted and hyperkeratotic area&#46; C&#44; Schematic representation of the dermoscopic image&#46; Note the vascular pattern&#58; linear vessels &#40;arrow&#41;&#44; hairpin vessels &#40;arrow tip&#41;&#44; linear vessel with distal thickening &#40;asterisk&#41;&#46; The keratin mass is shown in white and the crust in orange&#46;</p>"
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                      "titulo" => "Dermoscopic pattern in facial trichilemmomas&#58; red iris-like structure"
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                            3 => "E&#46; Conde-Montero"
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                      "doi" => "10.1016/j.jaad.2014.04.064"
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                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2015"
                        "volumen" => "72"
                        "paginaInicial" => "S30"
                        "paginaFinal" => "S32"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25500033"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermoscopy of uncommon skin tumours"
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                        0 => array:2 [
                          "etal" => true
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                            0 => "A&#46; Lallas"
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                      "doi" => "10.1111/ajd.12074"
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                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "2014"
                        "volumen" => "55"
                        "paginaInicial" => "53"
                        "paginaFinal" => "62"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23866027"
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