Dermoscopy of Cutaneous Neoplasms in Skin of Color – A Systematic Review by the International Dermoscopy Society “Imaging in Skin of Color” Task Force

Nkechi Anne  Enechukwu; Biswanath  Behera; Delaney D  Ding; Aimilios  Lallas; Payal  Chauhan; Soumil  Khare; Martyna  Sławińska; Bengu  Nisa Akay; Balachandra S  Ankad; Yasmeen J  Bhat; Abhijeet  Kumar Jha; Feroze  Kaliyadan; Awatef  Kelati; Shekhar  Neema; Nisha V  Parmar; Jennifer Stein; Richard P  Usatine; Keshavamurthy  Vinay; Adebola Olufunmilayo  Ogunbiyi; Enzo Errichetti

doi:10.5826/dpc.1304S1a308S

Dermoscopy of Cutaneous Neoplasms in Skin of Color – A Systematic Review by the International Dermoscopy Society “Imaging in Skin of Color” Task Force

Authors

Nkechi Anne Enechukwu Nnamdi Azikiwe University/Nnamdi Azikiwe Teaching Hospital Nnewi, Anambra State, Nigeria
Biswanath Behera Department of Dermatology and Venereology, AIIMS, Bhubaneswar, India
Delaney D Ding University of Florida College of Medicine, Gainesville, FL, USA
Aimilios Lallas First Department of Dermatology, School of Medicine, Faculty of Health Sciences, Aristotle University, Thessaloniki, Greece
Payal Chauhan Department of Dermatology, All India Institute of Medical Sciences (AIIMS), Bilaspur, Himachal Pradesh, India
Soumil Khare Department of Dermatology, Venereology and Leprosy, AIIMS, Raipur, India
Martyna Sławińska Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Poland
Bengu Nisa Akay Department of Dermatology, School of Medicine, Ankara University, Ankara, Turkey
Balachandra S Ankad Department of Dermatology, Venereology and Leprosy, SN Medical College, Bagalkot, Karnataka, India
Yasmeen J Bhat Department of Dermatology, Venereology and Leprology, Government Medical College, University of Kashmir, Srinagar, Jammu and Kashmir, India
Abhijeet Kumar Jha Department of Dermatology & STD, Patna Medical College & Hospital, Patna, India
Feroze Kaliyadan Department of Dermatology, Sree Narayana Institute of Medical Sciences, Ernakulum, India
Awatef Kelati Dermatology Department, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco
Shekhar Neema Department of Dermatology, Venereology and Leprology, Armed Force Medical College, Pune, Maharashtra, India
Nisha V Parmar Department of Dermatology, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates
Jennifer Stein The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY, USA
Richard P Usatine Department of Dermatology and Cutaneous Surgery, Department of Family and Community Medicine, University of Texas Health San Antonio, San Antonio, TX, USA
Keshavamurthy Vinay Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Adebola Olufunmilayo Ogunbiyi College of Medicine, University of Ibadan, Oyo State, Niger
Enzo Errichetti Institute of Dermatology, "Santa Maria della Misericordia" University Hospital, Udine, Italy

Keywords:

dermoscopy, dermatoscopy, epiluminescence, tumors, neoplasia, skin of color, dark skin, black skin, ethnic skin, dark phototype, african skin, systematic review

Abstract

Over the last few decades, dermoscopy has been showed to facilitate the non-invasive diagnosis of both benign and malignant skin tumors, yet literature data mainly comes from studies on light phototypes. However, there is growing evidence that skin neoplasms may benefit from dermoscopic assessment even for skin of color. This systematic literature review evaluated published data in dark-skinned patients (dermoscopic features, used setting, pathological correlation, and level of evidence of studies), also providing a standardized and homogeneous terminology for reported dermoscopic findings. A total of 20 articles describing 46 different tumors (four melanocytic neoplasms, eight keratinocytic tumors, 15 adnexal cutaneous neoplasms, seven vascular tumors, four connective tissue tumors, and eight cystic neoplasms/others) for a total of 1724 instances were included in the analysis. Most of them showed a level of evidence of V (12 single case reports and six case series), with only two studies featuring a level of evidence of IV (case-control analysis). Additionally, this review also underlined that some neoplasms and phototypes are underrepresented in published analyses as they included only small samples and mainly certain tones of “dark skin” spectrum (especially phototype IV). Therefore, further studies considering such limitations are required for a better characterization.

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