Postępy Dermatologii i Alergologii

Abstract

5/2017 vol. 34
Original paper

High-frequency ultrasonography (HFUS) as a useful tool in differentiating between plaque morphea and extragenital lichen sclerosus lesions

Adv Dermatol Allergol 2017; XXXIV (5): 485–489
Online publish date: 2017/10/31
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Introduction: Morphea and lichen sclerosus (LS) are chronic inflammatory diseases that may pose a diagnostic challenge for a physician. High-frequency ultrasonography (HFUS) is a versatile diagnostic method utilized in dermatologic practice, allowing monitoring the course of the disease, treatment response and differentiation between certain skin disorders.

Aim: To prove the usefulness of HFUS in differentiating between plaque morphea and extragenital LS lesions.

Material and methods: We examined 16 patients with plaque morphea and 4 patients with extragenital LS using 20 MHz taberna pro medicumTM (Germany) device.

Results: Investigations revealed hyperechogenic entrance echo in both morphea and LS lesions, whereas a distinct polycyclic surface of the entrance echo was detected exclusively in LS.

Conclusions: High-frequency ultrasonography is a current diagnostic modality that may prove useful in differentiating between morphea and LS lesions.
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