Skip to main content Skip to main navigation menu Skip to site footer

The conformity between dermoscopy imaging and Wood’s lamp diagnostic on periorbital hyperpigmentation

  • Cut Samira Samsul ,
  • Imam Budi Putra ,
  • Nelva Karmila Jusuf ,

Abstract

Introduction: Periorbital hyperpigmentation (POH) is a common skin problem characterized by homogeneous/dark brown hyperchromic/pigmented macules around the lower eyelid and upper eyelid up to the malar area temporal area and the sides of the nose. POH is a multifactorial condition caused by both endogenous factors and exogenous factors, without one aspect dominating. Dermoscopy and Wood's lamp can assist the diagnosis of POH types when the inspection is regarded as weak. The assessment of the suitability of the dermoscopic image and Woods’ lamp diagnosis indicates an alternative supporting test in POH diagnosis. This study aimed to examine the conformity between dermoscopic images and Wood's lamp examination in POH diagnosis.

Methods: This observational conformity study was conducted using a cross-sectional design. There were 38 subjects diagnosed with POH who went to the Cosmetics Division of Dermatology and Venereology, Universitas Sumatra Utara Hospital participated as subjects. Assessments regarded the types of POH analyzed based on dermoscopic images and Wood's lamp examination. Data analysed with SPSS version 20 using Kappa test.

Results: On dermoscopy examination, the mixed type was the type most obtained, as many as 18 subjects (47,4%), whilst on Wood's lamp examination, the most dominant type obtained was pigment type, as much as 21 subjects (55,3%). Moderate conformity value on POH examination was obtained with dermoscopy and Wood’s lamp.

Conclusion: Dermoscopic images and Wood's lamp examination shared a sufficient conformity value in POH diagnosis.

References

  1. Freitag FM, Cestari TF. What causes dark circles under the eyes? J Cosmet Dermatol. 2007;6(3):211–5. Available from: http://dx.doi.org/10.1111/j.1473-2165.2007.00324.x
  2. Roh MR, Chung KY. Infraorbital Dark Circles: Definition, Causes, and Treatment Options. Dermatologic Surg. 2009;35(8):1163–71. Available from: http://dx.doi.org/10.1111/j.1524-4725.2009.01213.x
  3. Sarkar R, Das A. Periorbital Hyperpigmentation: What Lies Beneath? Indian Dermatol Online J. 2018;9(4):229–30. Available from: https://pubmed.ncbi.nlm.nih.gov/30050810
  4. Mashood AA. Treatment of hyperpigmentation disorders. J Pakistan Assoc Dermatol. 2006;02(01):16–65. Available from: http://dx.doi.org/10.4172/2376-0427.1000158
  5. Agrawal S. Periorbital Hyperpigmentation: Overcoming the Challenges in the Management. Nepal J Dermatology, Venereol Leprol. 2018;16(1):2–11. Available from: http://dx.doi.org/10.3126/njdvl.v16i1.19411
  6. Sheth PB, Shah HA, Dave JN. Periorbital hyperpigmentation: a study of its prevalence, common causative factors and its association with personal habits and other disorders. Indian J Dermatol. 2014;59(2):151–7. Available from: https://pubmed.ncbi.nlm.nih.gov/24700933
  7. Watanabe S, Nakai K, Ohnishi T. Condition Known as “Dark Rings Under the Eyes” in the Japanese Population is a Kind of Dermal Melanocytosis Which can be Successfully Treatedby Q-Switched Ruby Laser. Dermatologic Surg. 2006;32(6):785–9. Available from: http://dx.doi.org/10.1097/00042728-200606000-00003
  8. Gaón NQ, Romero W. Dermoscopy in periorbital hyperpigmentation: An aid in the clinical type diagnosis. Surg Cosmet Dermatology. 2014;6(2):171–2.
  9. Huang Y-L, Chang S-L, Ma L, Lee M-C, Hu S. Clinical analysis and classification of dark eye circle. Int J Dermatol. 2013;53(2):164–70. Available from: http://dx.doi.org/10.1111/j.1365-4632.2012.05701.x
  10. David BG, R. RM, Shankar R. A clinico-epidemiological study of periorbital melanosis. Int J Res Dermatology. 2017;3(2):245. Available from: http://dx.doi.org/10.18203/issn.2455-4529.intjresdermatol20172205
  11. Vasudevan B, Chatterjee M, Suwal B, Malik A. A study of epidemiological, etiological, and clinicopathological factors in periocular hyperpigmentation. Pigment Int. 2018;5(1):34. Available from: http://dx.doi.org/10.4103/pigmentinternational.pigmentinternational_25_17
  12. Mendiratta V, Rana S, Jassi R, Chander R. Study of Causative Factors and Clinical Patterns of Periorbital Pigmentation. Indian Dermatol Online J. 2019;10(3):293–5. Available from: https://pubmed.ncbi.nlm.nih.gov/31149574
  13. Fatin AM, Mathana Sundram TK, Tan SSE, Seghayat MS, Lee CK, Rehman N, et al. Classification and characteristics of periorbital hyperpigmentation. Ski Res Technol. 2020;26(4):564–70. Available from: http://dx.doi.org/10.1111/srt.12831
  14. Shahid M, Tahir K. Association of periorbital melanosis with pigmentary demarcation line-F. J Pakistan Assoc Dermatologists. 2018;28(1):39–44.
  15. Malakar S, Lahiri K, Banerjee U, Mondal S, Sarangi S. Periorbital melanosis is an extension of pigmentary demarcation line-F on face. Indian J Dermatol Venereol Leprol. 2007;73(5):323. Available from: http://dx.doi.org/10.4103/0378-6323.34009
  16. Ranu H, Thng S, Goh BKEE, Burger A, Goh CL. Periorbital Hyperpigmentation in Asians: An Epidemiologic Study and a Proposed Classification. Dermatologic Surg. 2011;37(9):1297–303. Available from: http://dx.doi.org/10.1111/j.1524-4725.2011.02065.x
  17. Rocha Barone C, Catucci Boza J, Challub Pires G, Perusato Pereira P, Ferreira Cestari T. The influence of sleep quality on the development of periocular hyperchromia: a case?control study. J Cosmet Dermatol. 2019;19(7):1760–7. Available from: http://dx.doi.org/10.1111/jocd.13195
  18. Dong W, Li Y, Gao M, Hu M, Li X, Mai S, et al. IKK? contributes to UVB-induced VEGF expression by regulating AP-1 transactivation. Nucleic Acids Res. 2011/12/14. 2012;40(7):2940–55. Available from: https://pubmed.ncbi.nlm.nih.gov/22169952
  19. Rousseaux I. Peri-Orbital Non-Invasive and Painless Skin Tightening-Safe and Highly Effective Use of Multisource Radio-Frequency Treatment Platform. J Cosmet Dermatological Sci Appl. 2015;05(03):206–11. Available from: http://dx.doi.org/10.4236/jcdsa.2015.53025
  20. Taskin B. Periocular Pigmentation: Overcoming the Difficulties. J Pigment Disord. 2015;02(01):1–3. Available from: http://dx.doi.org/10.4172/2376-0427.1000159
  21. Boruah D, Manu V, Malik A, Chatterjee M, Vasudevan B, Srinivas V. A morphometric and immunohistochemical study of melanocytes in periorbital hyperpigmentation. Indian J Dermatology, Venereol Leprol. 2015;81(6):588. Available from: http://dx.doi.org/10.4103/0378-6323.168327

How to Cite

Samsul, C. S., Putra, I. B., & Jusuf, N. K. (2021). The conformity between dermoscopy imaging and Wood’s lamp diagnostic on periorbital hyperpigmentation. Bali Medical Journal, 10(2), 839–842. https://doi.org/10.15562/bmj.v10i2.2620

HTML
14

Total
11

Share

Search Panel

Cut Samira Samsul
Google Scholar
Pubmed
BMJ Journal


Imam Budi Putra
Google Scholar
Pubmed
BMJ Journal


Nelva Karmila Jusuf
Google Scholar
Pubmed
BMJ Journal