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26. Turchin I, Adams SP, Enta T: Dermacase. Pityriasis rosea. Canad Fam Phys. 2004;50: 41. 27. Gündüz O, Ersoy-Evans S, Karaduman A: Childhood pityriasis rosea. Pediatr Dermatol 2009; 26: 750-751. 28. Glick Z, Khachemoune A: A teenage girl with rash. Pityriasis rosea. Pediatr Ann. 2008; 37: 664- 667. 29. Ayanlowo O, Akinkugbe A, Olumide Y: The pityriasis rosea calendar: a 7 year review of seasonal variation, age and sex distribution. Nig Q J Hosp Med. 2010; 20: 29-31. 30. Chuh A, Zawar V: Case reports and studies on pityriasis rosea – from number of patients to meta-analyses and diagnostic criteria. Our Dermatol Online. 2012; 3: 141-142. 31. Egwin AS, Martis J, Bhat RM, Kamath GH, Nanda KB: A clinical study on pityriasis rosea. Indian J Dermatol. 2005; 50: 136-138. 32. Sharma L, Srivastava K: Clinicoepidemiological study of pityriasis rosea. Indian J Dermatol Venerol Leprol. 2008; 74: 647-649. 33. Drago F, Vecchio F, Rebora A: Use of highdose acyclovir in pityriasis rosea. J. Am. Acad. Dermatol., 2006; 54: 82-85. 34. Amer A, Fischer H: Azithromycin does not cure pityriasis rosea. Pediatrics, 2006; 117: 1703-1705. Copyright by Piotr Brzezinski et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 122 © Our Dermatol Online 2.2012
Case Report DOI: 10.7241/ourd.20122.25 DERMOSCOPY OF HEAD MELANOMA-CASE STUDIES AND REVIEW OF REFERENCES DERMOSKOPIA CZERNIAKA SKÓRY GŁOWY-BADANIE PRZYPADKU I PRZEGLĄD PIŚMIENNICTWA Irdina Drljevic 1 , Kenan Drljevic 2 1 Clinic of Dermatology and Venereology ,Clinical Centre of the University of Sarajevo, Bolnička 25, 71000 Sarajevo, Bosnia and Herzegovina 2 Obstetrics and Gynecology Department, General Hospital “Prim. Dr. Abdulah Nakaš”, Kranjčevićeva 12, 71000 Sarajevo, Bosnia and Herzegovina Corresponding author: Irdina Drljevic, MD PhD idrljevic@hs-hkb.ba Our Dermatol Online. 2012; 3(2): 123-125 Date of submission: 02.01.2011 / acceptance: 03.02.2012 Conflicts of interest: None Abstract Dermoscopy is valid, noninvasive technique for the visualization of different morphological structures within pigmented melanocytic skin lesion. In clinical practice, positive personal history is considered to be as an indication of increased melanoma risk. The thickness of melanoma (Breslow Index) is the most important independent predicting factor of survival for stage I patients. We aimed to present a two cases of head-melanoma and discuss prominent clinical and dermoscopic features across the spectrum of “hidden-melanoma” and differential diagnosis. Streszczenie Dermoskopia to aktualnie, nieinwazyjna metoda wizualizacji różnych struktur morfologicznych w obrębie melanocytowych zmian skórnych. W praktyce klinicznej, dodatni wynik badania jest uznawany z wskaźnik podwyższonego wystąpienia czerniaka. Grubość czerniaka (Indeks Breslow) jest najważniejszym niezależnym czynnikiem prognostycznym dla długości przeżycia u pacjentów w I stopniu zaawansowania choroby. Postaraliśmy się przedstawić dwa przypadki czerniaka okolicy skóry głowy i przedyskutować ważne kliniczne i dermoskopowe cechy pod kątem „ukrytych czerniaków” oraz diagnostyki różnicowej. Key words: skin; head; melanoma; dermoscopy; differential diagnosis Słowa klucze: skóra; głowa; czerniak; dermoskopia; diagnostyka różnicowa Introduction Melanoma is a malignant tumor of melanocytes, whose incidence has been increasing all over the world. Most authors believe that there is still no specific diagnostic criterion enabling an unambiguous clinical diagnosis of melanoma [1]. Most often it is found on skin, which should direct doctors and patients to early recognition and detection of the disease [2]. Scalp melanoma is included in the group of head and neck melanomas, which make approximately 10-20% of all primary skin melanomas [3]. It is defined as a tumor usually located in the area of the head covered with hair (hair-bearing area melanoma), and it is also called „hidden“ melanoma or „invisible killer“ [4]. Lentigo malign melanoma is the most frequent histological subtype of melanoma in elderly women, whereas superficially spreading and nodular melanomas are found in the scalp area in men, mostly older than 50 [5]. Case study I A 45-year-old patient presented to a dermatologist for occasional bleeding of a mole in the right retroauricular region (Fig. 1). He had noticed first changes of color and size of the mole a year before. His mother’s brother had had a similar tumor operated a few years ago. Before the age of 20 he had had several sunburns. At the moment of the examination a slightly elevated macula measuring 16x14 mm could be seen, it was dark brown and black, with irregular contours and wet. Dermatoscopic examination was done with the digital dermatoscope MoleMax II, and under twenty times magnification the following dermatoscopic structures were noticed: atypical pigment network, irregular streaks, homogeneous area, irregular dots and globules, blue-white veil (Fig. 2). An operative treatment and extirpation of the first sentinel lymph node were recommended. © Our Dermatol Online 2.2012 123
Page 1 and 2: Editorial Pages e-ISSN: 2081-9390 Q
Page 3 and 4: CONTENTS Editorial Pages Original A
Page 5 and 6: Original Articles DOI: 10.7241/ourd
Page 7 and 8: Figure 2. Candidal intertrigo of to
Page 9 and 10: Comments to the article DOI: 10.724
Page 11 and 12: all the patients. Family history of
Page 13 and 14: 17. Barbieri RL, Ryan KJ: Hyperandr
Page 15 and 16: Original Articles DOI: 10.7241/ourd
Page 17 and 18: Figure 1. a. Positive BMZ staining
Page 19 and 20: Figure 3. a. Positive IHC staining
Page 21 and 22: 21. Ameglio F, D’Auria L, Cordial
Page 23 and 24: 11. Chen R, Ning G, Zhao ML, Flemin
Page 25 and 26: Introduction Candida species and Ca
Page 27 and 28: Discussion Candida species colonize
Page 31 and 32: Case Report DOI: 10.7241/ourd.20122
Page 33 and 34: with topical agents including corti
Page 35 and 36: Figure 1. Clinic. Rounded nodules w
Page 39 and 40: With all these clinicopathological
Page 41 and 42: Case Report DOI: 10.7241/ourd.20122
Page 43: In the differential diagnosis also
Page 47 and 48: Dermatoscopy (epilumenescence micro
Page 49 and 50: Figure 1. The clinical aspect of th
Page 51 and 52: In this model, the publication cost
Page 53 and 54: Clinical Images DOI: 10.7241/ourd.2
Page 55 and 56: REFERENCES 1. http://en.wikipedia.o
Page 57 and 58: Depending on the predominant cell t
Page 59 and 60: Figure 1.a. The appearance of black
Page 61 and 62: Figure 1. Giant congenital melanocy
Page 63 and 64: Letter to the Editor DOI: 10.7241/o
Page 65 and 66: Review Articles / Dermatology Epony
Page 67 and 68: Dermatology Eponyms DOI: 10.7241/ou
Page 69 and 70: Dermatology Eponyms DOI: 10.7241/ou
Page 71 and 72: OBJAW ANUG Ostre, bolesne martwiczo
Page 73 and 74: Francuski fizjolog i immunolog, 186
Page 75 and 76: Figure 18. Double Border sign Figur
Page 77: ACKNOWLEDGEMENT Prof. V. Ramesh (fo

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