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. 2025 Jul 27;13(8):e70686.
doi: 10.1002/ccr3.70686. eCollection 2025 Aug.

A Typical Dermoscopic Pattern of PLEVA

Mahesh Mathur  1 , Sumit Paudel  1 , Supriya Paudel  1 , Sambidha Karki  1 , Sandhya Regmi  1 , Nabita Bhattarai  1
Affiliations

A Typical Dermoscopic Pattern of PLEVA

Mahesh Mathur et al. Clin Case Rep. .

Abstract

PLEVA is a benign inflammatory disorder. Dermoscopy is a non-invasive diagnostic modality. Thus, the new dermoscopic pattern mentioned in our literature can aid in the diagnosis of the disease, unlike the skin biopsy, which is an invasive modality and shows non-specific features in PLEVA.

Keywords: PLEVA; central crust; dermoscopy; targetoid pattern; vascular structures; white scales.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
(a) PLEVA: Mulitple erythematous macules, papules, crusted lesions with mica like scales over trunk and extremities, 1 (b) Hematoxylin and eosin (H/E) stain (40×): Parakeratosis, spongiosis and vacuolar degeneration in basal layer of epidermis, 1 (c) H/E stain (40×): Extravasation of RBCs in dermis, 1 (d) Multiple hyperpigmented macules and papules following 3 weeks of treatment with doxycycline.
FIGURE 2
FIGURE 2
(a) Dermoscopy PLEVA: Central crusting, reddish areas with polymorphic vessels surrounded by peripheral white scales, 2 (b) Typical target pattern of central crust, intermediate vascular ring surrounded by white scales on pinkish background, 2 (c) Central necrotic areas around the hair follicles with peripheral crusting and scaling.
See this image and copyright information in PMC

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References

    1. Teklehaimanot F., Gade A., and Rubenstein R., “Pityriasis Lichenoides et Varioliformis Acuta (PLEVA),” in StatPearls (StatPearls Publishing, 2024). - PubMed
    1. Pereira N., Brinca A., Manuel Brites M., José Julião M., Tellechea O., and Gonçalo M., “Pityriasis Lichenoides et Varioliformis Acuta: Case Report and Review of the Literature,” Case Reports in Dermatology 4, no. 1 (2012): 61–65, 10.1159/000337745. - DOI - PMC - PubMed
    1. Bhut A., Shah A., and Nair P. A., “Dermatoscopic Findings of Pityriasis Lichenoides et Varioliformis Acuta,” Indian Journal of Paediatric Dermatology 21 (2020): 249–250.
    1. Virdi S. K., Kanwar A. J., and Saikia U. N., “Pityriasis Lichenoides With Ulceronecrosis and Hyperthermia: A Rare Variant of Pityriasis Lichenoides et Varioliformis Acuta,” Indian Journal of Dermatology, Venereology and Leprology 76 (2010): 172–175. - PubMed

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