SOVREMENNAYA PEDIATRIYA.2016.7(79):54-58; doi 10.15574/SP.2016.79.54 

Dermatoscopy and ultrasound diagnostics of skin as a minimally invasive methods to examination of atopic dermatitis in children

Fedortsiv O. Ye., Mochulska O. M.

SHEE «Ternopil State Medical University named after I. Ya. Horbachevsky of Ministry of Healthcare in Ukraine», Ukraine

Purpose of work: to study prospects and possibilities of dermatoscopy and skin ultrasonography as a method of objective assessment of skin in children with atopic dermatitis, to analyse of clinical practice experience and interpretation of skin inspections results.

Materials and methods of research. Morphological features of skin changes were studied according to the results of dermatoscopy and ultrasonic inspection method in children with atopic dermatitis aged 1 to 18 years. Evaluation of severity of atopic dermatitis was conducted by semiquantitative index SСORAD (Scoring of Atopik Dermatitis).

Results. Atopic dermatitis (AD) is a chronic disease with a polymorphic changes in the skin. According to survey results of dermoscopy we can conclude about the presence of several options of skin damage on a background of atopic dermatitis. These data complement the classical clinical forms of atopic dermatitis (exudative, erythematous-squamous, erythematous-squamous with lichenification, lichenoid, pruritic), established at the examination. In study of skin echograms affected by AD was noted the presence of wide hypoechoic strip below input echo and diffuse reeduction of dermis echogenicity. Was established a high correlation between the degree of decrease and the severity of inflammation. Comparison of results between dermatoscopy, ultrasound and clinical inspection of skin increases the reliability of data obtained during the examination.

Conclusions. Dermatoscopy and skin ultrasound can be used in therapeutic and diagnostic process for verification and refinement of clinical diagnosis, monitoring and evaluating of treatment effectiveness, and for examination of medical services quality.

Key words: atopic dermatitis, dermatoscopy, ultrasound examination of skin, morphology and structure of skin, epidermis, dermis.

REFERENCES

1. Dzhor R, Soyer HP, Ardzhentsiano D, Scolventsy M, Hofman-Wellenhof R. 2010. Dermatoscopy. Read Elsiver. P. 244.

2. Dmyterko SV. 2013. Prospects of dermatoscopy for ichthyosis. Herald of Vinnitsa National Medical University. 1: 81-86.

3. Makarenko LA. 2013. Non-invasive diagnostics in dermatology. Russian Journal of Skin and Venereal Diseases. 2: 40-45.

4. Savoskina VA. 2013. Dermatoscopic picture and histological correlation for some dermatological diseases. Clinical Immunology, Allergology, Infectology. 8 (67): 9-22.

5. Suid K, Honcharova YA. 2011. Experience of using dermatoscopy in pediatric dermatology. Child Health. 8: 35.

6. Dvoriakovskyi IV, Kudriavtseva AV, Larina KA, Dvoriakovskaia HM, Suhak AB. 2009. Ultrasonic skin evaluation in healthy children and children with atopic dermatitis. Ultrasound and functional diagnostics. 2: 52-59.

7. Zubeiko KA, Kurlovych MV, Smyslenova MV, Pryvalova EH. 2014. Ultrasound skin research. Radiology – practice. 6 (48): 40-49.

8. Bezuglyi AP, Bikbulatova NN, Shuhinina EA, Belkov PA, Habutdynova NR. 2011. Ultrasound skin investigation in practice of doctor-cosmetologist. Journal of Dermatology and Venereology. 3:142-152.

9. Vogt M, Scharenberg R, Moussa G et al. 2007. A New High Frequency Ultrasound Skin Imaging System: Imaging Properties and Clinical in Vivo Results. Acoustical Imaging. 28: 137—144. https://doi.org/10.1007/1-4020-5721-0_16

10. Kittler H, Rosendahl C, Cameron A, Tschandl P. 2011. Dermatoscopy — An Algorithmic Method Based on Pattern Analysis. Facultas Verlags & Buchhandels AG: 334.

11. Malvehy J, Puig S, Braun RP et al. 2006. Handbook of Dermoscopy. New York, Taylor & Francis: 95. https://doi.org/10.1201/b14613

12. Lee JB, Hirokawa D. 2010. Dermatoscopy: An overview. Part I. Non-Melanocytic Lesion. Skinmed. 8: 265—272. PMid:21137635

13. Jasaitiene D, Valiukeviciene S, Linkeviciute G et al. 2011. Principles of high-frequency ultrasonography for investigation of skin pathology. Journal of Eurepean Academy of Dermatology and Venerology. 25(4): 375—382. https://doi.org/10.1111/j.1468-3083.2010.03837.x; PMid:20849441

14. Severity scoring of atopic dermatitis: the SCORAD index. Consensus Report of the European Task Force on Atopic Dermatitis. Dermatology. 1993. 186(1): 23—31. https://doi.org/10.1159/000247298; PMid:8435513