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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Seborrheic keratosis &#40;SK&#41; is a frequent motive for consultation and is usually resolved with a simple clinical diagnosis&#59; in private practice&#44; it is often associated with esthetic treatment&#46; Inflammation or pigmentation may require clinical differential diagnosis with squamous cell carcinoma or melanoma&#44; respectively&#46; Dermatoscopy has been of unquestionable help<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> by confirming the suspected clinical diagnosis in most cases&#44; even among nonexpert examiners&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a> Nevertheless&#44; SK may present a dermatoscopic pattern that is atypical or that mimics other tumors&#46; In this issue of <span class="elsevierStyleSmallCaps">Actas dermosifiliogr&#225;ficas</span>&#44; Mazzeo et al<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> perform a retrospective evaluation of a series of 72 SK that had been removed to rule out malignancy&#46; While all the lesions presented characteristic signs of SK&#44; up to 80&#37; presented criteria that suggested a melanocytic lesion&#44; 25&#37; presented polymorphous vessels&#44; whereas 12&#37; of cases of SK presented an overall vascular pattern&#44; and up to 8&#37; presented a blue-white veil&#46; These data are similar to those found in melanomas mimicking SK&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> Although these melanomas may show some signs characteristic of SK&#44; they also show signs that suggest a diagnosis of melanoma&#44; such as presenting 80&#37; of the criteria for a melanocytic lesion&#44; the blue-white veil&#44; and atypical blood vessels&#46; It should be remembered that some forms of SK may mimic melanoma and vice versa&#59; therefore&#44; to ensure that no melanoma goes undiagnosed&#44; a 2-step method has been recommended&#58; ruling out a melanocytic lesion before looking for signs of SK&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> The presence of a combination of blue and black &#40;another specific sign of suspected malignancy<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a>&#41; appears to be rare in atypical SK&#44; but is frequent in melanomas mimicking SK&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In summary&#44; the diagnosis of a lesion suggestive of SK should be confirmed histologically&#44; especially where ablative treatment is considered&#44; when the lesion presents inconsistent dermatoscopic aspects&#44; such as blue-black or blue-white coloring&#44; a pigmented network&#44; globules&#44; or atypical blood vessels&#46;</p></span>"
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