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Thursday 23 September 2010

A 18-year-old man consulted for a pigmented lesion on his left heel.

Dermoscopy revealed a parallel ridge pattern and the presence of aggregated black globules, noticeably visible at the border of the lesion : this unique dermoscopic feature named "pebbles on the ridges" is typical of a subcorneal haemorrhage (or subcorcorneal hematoma, black heel).

Friday 17 September 2010

Nice legs !

A 59-year-old patient consulted for this white lesion on her back.

Dermoscopy confirmed easily the diagnosis showing the legs of this charming bug ! A tick !

Dorsal red plaque


A 51-year-old man presented a slowly enlarging red plaque on his back.


Dermoscopy revealed:
  • absence of pigment network
  • thin arborizing vessels
A biopsy confirmed the diagnosis of superficial basal cell carcinoma.

In superficial BCC, vessels are often thinner than in other subtypes (nodular BCC).