Mithali Jage
Lokmanya Tilak Municipal Medical College, India
Title: Clinical and dermoscopic evaluation of Periorbital Hyperpigmentation
Biography
Biography: Mithali Jage
Abstract
Introduction: Periorbital hyperpigmentation is a routinely encountered condition in dermatology practice. Studying the clinical features and its correlation with dermoscopy will help in better understanding of the patterns of periorbital pigmentation and its evolution.
Method: 50 patients attending dermatology OPD with periorbital hyperpigmentation as presenting complaint were included in the study. A detailed history and proper clinical examination was done. Laboratory tests were advised whenever necessary. Dermoscopy of pigmentation over both lower eyelids was done and 200x magnification of Oitez escope [DP-M17 filter escope pro (optical 200x)]. Clinical photographs of all patients were taken.
Result: The most common etiology of periorbital hyperpigmentation was multifactorial. The most common clinical type is post-inflammatory type. Other associated clinical findings included pigmentation at other anatomical sites (20%), visible bulging (10%); tear trough (8%) and visible superficial vessels in periorbital region (6%). On dermoscopy, majority of patient had multicomponent pattern (64%) which included more than one pattern of pigmentation, vasculature and skin changes. The different pattern of pigmentation were blotches (30%), exaggerated pigment network (28%), coarse speckled (24%), fine speckled (20%) and globules (16%). Pattern of vasculature included telangiectasia (18%) and superficial dilated vessels (20%). Patterns of skin changes included atrophy (18%) and exaggerated skin markings (22%). Dermoscopic features can correlate with its etiology.
Conclusion: Periorbital hyperpigmentation is a multifactorial entity. Dermoscopic features can correlate with its etiology.