dc.contributor.author | García García, Begoña | |
dc.contributor.author | Aubán Pariente, Javier | |
dc.contributor.author | Munguía Calzada, Pablo | |
dc.contributor.author | Vivanco Allende, Blanca | |
dc.contributor.author | Argenziano, Giusseppe | |
dc.contributor.author | Vázquez López, Francisco | |
dc.date.accessioned | 2023-11-17T07:40:54Z | |
dc.date.available | 2023-11-17T07:40:54Z | |
dc.date.issued | 2020-04 | |
dc.identifier.citation | Scientific Reports, 10(1) (2020); doi:10.1038/s41598-020-63146-w | |
dc.identifier.issn | 2045-2322 | |
dc.identifier.uri | https://hdl.handle.net/10651/70361 | |
dc.description | Dermoscopia urticaria vasculitis | spa |
dc.description.abstract | The clinical criteria for the diagnosis of urticarial vasculitis lack accuracy, according to previous studies.
The aim of the study was to assess the accuracy of a clinical and a clinical-dermoscopic model for the
differential diagnosis of chronic spontaneous urticaria (CSU) and urticarial vasculitis (UV). Dermoscopic
images of lesions with histopathologically confirmed diagnosis of CSU and UV were evaluated for the
presence of selected criteria (purpuric patches/globules (PG) and red linear vessels). Clinical criteria of
CSU and UV were also registered. Univariate and adjusted odds ratios were calculated. Multivariate
regression analyses were conducted separately for clinical variables (clinical diagnostic model) and
for both clinical and dermoscopic variables (clinical-dermoscopic diagnostic model). 108 patients with
CSU and 27 patients with UV were included in the study. The clinical-dermoscopic model notably
showed higher diagnostic sensitivity than the clinical approach (63% vs. 44%). Dermoscopic purpuric
patches/globules (PG) was the variable that better discriminated UV, increasing by 19-fold the odds for
this diagnosis. In conclusion, dermoscopy helps the clinical discrimination between CSU and UV. The
visualization of dermoscopic PG may contribute to optimize decisions regarding biopsy in patients with
urticarial rashes. | spa |
dc.language.iso | eng | spa |
dc.publisher | Springer Nature | spa |
dc.relation.ispartof | Scientific Reports | spa |
dc.rights | CC Reconocimiento 4.0 Internacional | |
dc.rights | © The Author(s) 2020 | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
dc.subject | Dermoscopy | spa |
dc.subject | Dermatoscopy | |
dc.subject | Urticarial vasculitis | |
dc.subject | Vasculitis | |
dc.title | Development of a clinical-dermoscopic model for the diagnosis of urticarial vasculitis. | spa |
dc.type | journal article | spa |
dc.identifier.doi | 10.1038/s41598-020-63146-w | |
dc.relation.publisherversion | https://doi.org/10.1038/s41598-020-63146-w | spa |
dc.rights.accessRights | open access | spa |
dc.type.hasVersion | VoR | spa |