Comma vessels

From dermoscopedia

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 Editor: Ralph P. Braun

 Author(s): Ralph P. Braun
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Description This chapter covers 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. of comma vesselslinear curved short vessels dermal nevi
Author(s) Ralph P. Braun
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Status released
Status update November 29, 2019
Status by Ralph P. Braun


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Comma vesselslinear curved short vessels dermal nevi are slightly curved vesselscomma vessels - linear curved short vessels - dermal nevi monomorphous vessels: one type of vessel dominates that appear to take the shape of a comma[1]. These vesselsThis glossary term has not yet been described. tend to appear slightly out of focus, as their deeper location within the dermis does not allow for sharp visualization under dermoscopy.

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Differential diagnosisis the identification of the nature and cause of a certain phenomenon. Diagnosis is used in many different disciplines with variations in the use of logic, analytics, and experience to determine "cause and effect". In systems engineering and computer science, it is typically used to determine the causes of symptoms, mitigations, and solutions
Comma vessels are most commonly associated with dermal neviThis glossary term has not yet been described.. In a study of dermal/ congenital neviis a type of melanocytic nevus (or mole) found in infants at birth. This type of birthmark occurs in an estimated 1% of infants worldwide; it is located in the area of the head and neck 15% of the time., 66.3% exhibited this vascular pattern, with a PPV of 94% [2]. In another study, comma vessels, when distributed in an organized fashion and when they comprise the predominant observed vessel morphologyThis glossary term has not yet been described., are predictive that the lesion in question is not a melanomaThis glossary term has not yet been described. [3]. In other words, comma vessels are highly suggestive of benign neviThis glossary term has not yet been described. with dermal nevi being the most common, but they can also be seen in compound neviThis glossary term has not yet been described..


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Comma vessels as they appear on an intradermal nevusThis glossary term has not yet been described.


ReferencesThis is material contained in a footnote or bibliography holding further information.
  1. Braun et al.: 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.: what's new?. Clin. Dermatol. 2009;27:26-34. PMID: 19095151. DOI.
  2. Argenziano et al.: Vascular structuresThis glossary term has not yet been described. in skin tumors: a dermoscopy study. Arch Dermatol 2004;140:1485-9. PMID: 15611426. DOI.
  3. Menzies et al.: Dermoscopic evaluation of amelanotic and hypomelanotic melanomaThis glossary term has not yet been described.. Arch Dermatol 2008;144:1120-7. PMID: 18794455. DOI.