Ink test

From dermoscopedia

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 Editor: Ralph P. Braun

 Author(s): Ralph P. Braun
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Author(s) Ralph P. Braun
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Status update June 27, 2017
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Prior to executing the ink testThis glossary term has not yet been described. [1] , the lesion should be evaluated clinically and dermoscopically. Once this has been accomplished, liquid ink (ie, from a fountain pen) should be applied directly onto the lesion. The ink should be left on the skin for a few seconds to allow it to penetrate the furrows. The excess ink should then be wiped off using a cotton swab. The ink will at first diffusely color the entire skin surface. The subsequent cotton swab wiping will only remove the ink on the skin on the surface (ie. Ridges). The furrows or other structuresThis glossary term has not yet been described. will retain the stain and become clearly visible on dermoscopic examination as thin inked linesstreaksThis glossary term has not yet been described.. This will make it easy to evaluate whether the melanin pigmentation follows the ink lines (ie, parallel furrow patternVolar pigmentation forming solid or dotted lines, parallel, thin, on the furrows (sulci superficiales or invaginations in dermatoglyphics). The lines are occasionally doubled, each line is beside the furrows.) or if the pig- mentation is located in between these ink lines, thus representing a parallel ridge patternVolar pigmentation forming lines, parallel, diffuse and irregular, along the ridges or cristae superficiales (raised portion of the dermatoglyphics). Another interesting observation made by us was that initial vigorous rubbing of the skin with alcohol pads followed by the application of ink results in the accentuation of the eccrine pores by ink, thereby making it easy to identify the ridgeThis glossary term has not yet been described.. We theorize that the vigorous rubbing of the skin with alcohol results in the removal of keratin from around the eccrine pores and furrows. This results in less ink adhering to the furrow, while allowing the ink to enter the openings of eccrine pores. The ink test can as well be used for the in vivo staining of comedo-like openings[[Comedo like openings]] or fissures and ridgeslines, curved and thick to describe the structural components of the pattern SK revealing the 3 dimansional aspect in seborrheic keratosesThis glossary term has not yet been described. [2].

ReferencesThis is material contained in a footnote or bibliography holding further information.
  1. Braun et al.: The furrow ink testThis glossary term has not yet been described.: a clue for the dermoscopic 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 of acral melanomaThis glossary term has not yet been described. vs nevusThis glossary term has not yet been described.. Arch Dermatol 2008;144:1618-20. PMID: 19075144. DOI.
  2. Yagerman & Marghoob: The ink test: identifying 3-dimensional features of seborrheic keratoses under 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.. JAMA Dermatol 2013;149:497-8. PMID: 23715284. DOI.