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Giornale Italiano di Dermatologia e Venereologia 2004 December;139(6):541-6

Copyright © 2004 EDIZIONI MINERVA MEDICA

language: English

Dermatoscopy of pigmented skin lesions

Kittler H.

Division of General Dermatology Department of Dermatology University of Vienna Medical School, Vienna, Austria


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This review deals with dermatoscopy, a non invasive, in vivo technique, which may be used for the diagnosis of a wide variety of skin diseases. This paper reviews the actual instrumentation, dermatoscopic criteria which are fundamental in the diagnosis of pigmented skin lesions, diagnostic algorithms and diagnostic accuracy of the method. In conclusion dermatoscopy is a useful non invasive examination technique for pigmented skin lesions which improves the diagnostic accuracy in comparison to inspection with the unaided eye. Specific training is required to use this technique and it cannot be recommended for untrained users. Digital dermatoscopy might serve as a useful adjunct in the follow-up of patients with multiple melanocytic nevi. The computer diagnosis of dermatoscopic images is accurate under experimental conditions but currently the computer cannot replace dermatologists in the diagnosis of melanoma.

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