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2018 | 12 | 3 |

Tytuł artykułu

What should a cosmetologist know about dermatological lesions on the face?

Autorzy

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
In everyday practice, cosmetologists often observe abnormalities on the facial skin of his or her clients. Facial lesions have a diverse clinical picture, although most are benign. However, some lesions may be malignant and demand fast diagnosis and treatment. Among benign lesions are xanthomas, epidermal cysts, milia and seborrheic keratoses. Xanthomas are usually localized on the eyelids and often coexist with dyslipidemia. They appear clinically as yellowish papules that vary in size. Epidermal cysts are the most common type of skin cyst. They typically occur on the head and neck, and usually affect young adults in their 20s. Milia are common skin lesions that are typically numerous in presence and appear as small-sized sebaceous papules. Seborrheic keratoses are another important type of lesion that are localized on the face and may be disturbing for clients. These are benign tumors that usually appear in individuals over 50 years of age and have an incidence that rises with age. Typically, they are brown in color but they can also be other colors including black, yellow, grey or bluish. Other skin changes include basal cell carcinoma, actinic keratosis, squamous cell carcinoma and lentiginous malignant melanoma. Basal cell carcinoma is a slow-growing, locally malignant epithelial cancer of the skin. This cancer presents mainly in areas exposed to ultraviolet (UV) radiation. Actinic keratosis is a pre-cancerous lesion that is associated with UV radiation. It predisposes to squamous cell carcinoma and other skin cancers rarely. In contrast to basal cell carcinoma, squamous cell carcinoma may cause metastases with high mortality. Melanoma on the head and face usually takes the form of a lentiginous malignant melanoma. This manifests clinically as a brown spot that slowly grows centrifugally. Melanomas vary in size and color. Dermoscopy is an important tool that may help during diagnosis of facial lesions. Given the severe consequences of some skin lesions, it is very important for cosmetologists to have knowledge of the conditions described above. This is because he or she is often the first person who can persuade the client to undergo further diagnosis.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

12

Numer

3

Opis fizyczny

p.47-52,fig.,ref.

Twórcy

autor
  • Uniwersytecki Szpital Kliniczny nr 1 im. Jana Mikulicza-Radeckiego we Wrocławiu, Klinika Dermatologii, Wenerologii i Alergologii, Wroclaw, Poland
autor
  • Department of Cosmetology, Opole Medical School, Opole, Poland

Bibliografia

  • 1. Braun-Falco O, Plewig G, Wolf HH, Burgdorf WHC. Braun-Falco – dermatologia. Wyd. 2 polskie. Lublin: Wydawnictwo Czelej; 2011: 1242–1255. (in Polish).
  • 2. Zak A, Zeman M, Vecka M. Xanthomas: clinical and pathophysiological relations. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014 Jun; 158(2): 181–188.
  • 3. Pietroleonardo L, Ruzicka T. Skin manifestations in familial heterozygous hypercholesterolemia. Acta Dermatovenerol Alp Panonica Adriat 2009; 18: 183–187.
  • 4. Fusade BT. Treatment of xanthelasmapalpebrarum by 1064-nm Q-switched Nd:YAG laser: a study of 11 cases. J Dermatol 2008; 158: 84–87.
  • 5. Kang SG, Kim CH, Cho HK, Park MY, Lee YJ, et al. Two cases of giant epidermal cyst occurring in the neck. Ann Dermatol 2011; 23: 135–138.
  • 6. Nigam JS, Bharti JN, Nair V, Gargade CB, Deshpande AH, et al. Epidermal cysts: a clinicopathological analysis with emphasis on unusual findings. Int J Trichology 2017; 9(3): 108–112.
  • 7. Braun-Falco O, Plewig G, Wolf HH, Burgdorf WHC. Braun-Falco – dermatologia. Wyd. 2 polskie. Lublin: Wydawnictwo Czelej; 2011: 1351-1356. (in Polish).
  • 8. Lee KM, Park JH, Min KH, Kim EK.Epidermal cyst on the sole. Arch Plast Surg 2013; 40: 475–476.
  • 9. Song SW, Burm JS, Yang WY, Kang SY. Minimally invasive excision of epidermal cysts through a small hole made by a CO2 laser. Arch Plast Surg 2014; 41: 85–88.
  • 10. Berk DR, Bayliss SJ. Milia: a review and classification. J Am Acad Dermatol 2008; 59: 1050–1063
  • 11. Hubler WR Jr., Rudolph AH, Kelleher RM. Miliaen plaque. Cutis 1978; 22: 67–70.
  • 12. Avhad G, Ghate S, Dhurat R. Milia en plaque. Indian Dermatol Online J 2014; 5: 550–551.
  • 13. Phulari R, Buddhdev K, Rathore R, Patel S. Seborrheic keratosis. J Oral Maxillofac Pathol 2014; 18: 327–330.
  • 14. Braun RP, Ludwig S, Marghoob AA. Differential diagnosis of seborrheic keratosis: clinical and dermoscopic features. J Drugs Dermatol 2017 Sep 1; 16(9): 835–842.
  • 15. Hafner C, Vogt T. Seborrheic keratosis. J Dtsch Dermatol Ges 2008 Aug; 6(8): 664–677.
  • 16. Dourmishev LA, Rusinova D, Botev I. Clinical variants, stages, and management of basal cell carcinoma. Indian Dermatol Online J 2013 Jan; 4(1): 12–17.
  • 17. Marzuka AG. Book SE. Basal cell carcinoma: pathogenesis, epidemiology, clinical features, diagnosis, histopathology, and management. Yale J Biol Med 2015; 88: 167–179.
  • 18. Dodds A, Chia A, Shumack S. Actinic keratosis: rationale and management. Dermatol Ther (Heidelb) 2014; 4: 11–31.
  • 19. Goldenberg G, Perl M. Actinic keratosis. Update on field therapy. J Clin Aesthet Dermatol 2014; 7: 28–31.
  • 20. Burton K, Ashack K, Khachemoune A. Cutaneous squamous cell carcinoma: a review of high-risk and metastatic disease. Am J Clin Dermatol 2016; 17: 491–508.
  • 21. Feller L, Khammissa RAG, Kramer B, Altini M, Lemmer J. Basal cell carcinoma, squamous cell carcinoma and melanoma of the head and face. Head Face Med 2016; 12: 11.
  • 22. Röwert H, Patel MJ, Forschner T, Ulrich C, Eberle J, et al. Actinic keratosis is an early in situ squamous cell carcinoma: a proposal for reclassification. Br J Dermatol 2007; 156: 8–12.
  • 23. Kasprzak JM, Xu YG. Diagnosis and management of lentigomaligna: a review. Drugs Context 2015; 4: 212281.

Typ dokumentu

Bibliografia

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