Blue white veil

From dermoscopedia

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 Editor: Ralph P. Braun

 Author(s): Ralph P. Braun     ·  Oriol Yélamos
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Description This chapter describes histopathologyThis glossary term has not yet been described. of the dermoscopyThe examination of [skin lesions] with a 'dermatoscope'. This traditionally consists of a magnifier (typically x10), a non-polarised light source, a transparent plate and a liquid medium between the instrument and the skin, and allows inspection of skin lesions unobstructed by skin surface reflections. Modern dermatoscopes dispense with the use of liquid medium and instead use polarised light to cancel out skin surface reflections. term blue white veilBlue-white veil is confluent blue pigmentation with an overlying white “ground-glass” haze. In melanoma, the bluewhite veil does not occupy the entire surface area of the lesion, but rather is present as a focal, ill-defined area. Histopathologically, this dermoscopic structure corresponds to an aggregation of heavily pigmented cells (melanocytes and/or melanophages) or melanin in the dermis (blue color) in combination with compact orthokeratosis
Author(s) Ralph P. Braun · Oriol Yélamos
Responsible author Ralph Braun→ send e-mail
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Status update July 2, 2018
Status by Ralph P. Braun


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Blue-whitish veil is a blue and focal structureless zone with an overlying white “ground-glass” haze. It occurs in raised/palpable areas of a lesion (Braun et al., 2005). Histologically, it corresponds to heavily pigmented melanocytes and/or melanophages or melanin in the dermis (in melanocyticThis glossary term has not yet been described. lesions), in combinationThis glossary term has not yet been described. with acanthosis and compact orthokeratosis (Massi et al., 2001b, 2001a). Blue-whitish veil is associated with melanomaThis glossary term has not yet been described., but can also be seen in Spitz/Reed neviThis glossary term has not yet been described. and in non-melanocytic lesions such as SK, BCCAbbreviation for Basal Cell Carcinoma and pyogenic granulomaThis glossary term has not yet been described. (Braun et al., 2005; Zaballos et al., 2009).
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