背景:国际皮肤镜学会(IDS)最近发布了一组五个基本的皮肤镜参数(血管,scales,卵泡发现,“其他结构,\“和具体线索)总共包含31个子项目,以标准化非肿瘤性皮肤病中皮肤镜检查的使用,然而,他们已经开发了考虑到高加索/亚洲皮肤,如果在深色皮肤中使用,则可能存在局限性。
目的:通过专家共识,验证上述标准在深色皮肤患者(光型IV-VI)中的应用。
方法:采用两轮德尔菲法,包括两轮电子邮件问卷的迭代过程。根据他们在彩色皮肤非肿瘤性皮肤病的皮肤镜检查方面的专业知识,通过电子邮件从世界各地招募了潜在的小组成员。
结果:22名小组成员参加了验证过程。最初提出的五个参数和子项目在第一轮中都达成了协议,除了“卵泡红点”。\"此外,在第一轮中,提出了五个新的子项目(卵泡周尺度分布,卵泡开口闭塞,破碎的头发,内分泌色素沉着,和内分泌孔闭塞),同时还可以更改参数3的名称(从“卵泡发现”改为“卵泡/内分泌发现”),并将其分为两个子参数(“卵泡发现”和“内分泌发现”)。所有这些建议在第二轮中达成一致,因此被列入最终名单,共37个项目。
结论:尽管几乎所有最初由IDS提出的皮肤镜标准甚至适用于较暗的照型,需要评估几个额外的变量。
BACKGROUND: The International Dermoscopy Society (IDS) recently released a set of five basic dermoscopic parameters (vessels, scales, follicular findings, \"other structures,\" and specific clues) encompassing a total of 31 subitems to standardize the use of dermoscopy in non-neoplastic dermatoses, yet they have been developed taking into account Caucasian/Asian skin, with consequent possible limitations if used in dark skin.
OBJECTIVE: To validate the abovementioned criteria for the use in dark-skinned patients (phototypes IV-VI) through an expert
consensus.
METHODS: The two-round Delphi method was adopted, with an iterative process consisting of two rounds of email questionnaires. Potential panelists were recruited via e-mail from all over the world based on their expertise on dermoscopy of non-neoplastic dermatoses in skin of color.
RESULTS: Twenty-two panelists took part in the validation process. All of the five originally proposed parameters and subitems reached agreement during the first round, aside from \"follicular red dots.\" Additionally, during round 1, five new subitems were proposed (perifollicular scales distribution, follicular openings obliteration, broken hairs, eccrine pigmentation, and eccrine ostia obliteration), along with the possibility to change the denomination of parameter 3 (from \"follicular findings\" to \"follicular/eccrine findings\") and split it into two subparameters (\"follicular findings\" and \"eccrine findings\"). All such proposals reached agreement during the second round and therefore were included in the final list, for a total of 37 items.
CONCLUSIONS: Although nearly all the dermoscopic criteria originally proposed by the IDS are applicable even to darker phototypes, several additional variables need to be assessed.