String of pearls pattern

From dermoscopedia

Main PageVascular structuresString of pearls pattern
(0 votes)

 Authored by: Ralph P. Braun

 Keywords:   string of pearls · clear cell acanthoma
Description Describes dermoscopyDermoscopy is a non invasive diagnostic method. of string of pearlsCoiled or dotted vessels arranged in lines clear cell acanthoma pattern as seen in clear cell acanthoma(also known as "Acanthome cellules claires of Degos and Civatte," "Degos acanthoma," and "Pale cell acanthoma") is a benign clinical and histological lesion initially described as neoplastic, which some authors now regard as a reactive dermatosis. It usually presents as a moist solitary firm, brown-red, well-circumscribed, 5 mm to 2 cm nodule or plaque on the lower extremities of middle-aged to elderly individuals The lesion has a crusted, scaly peripheral collarette and vascular puncta on the surface. It is characterized by slow growth, and may persist for years. The clinical differential diagnosis includes: dermatofibroma, inflamed seborrheic keratosis, pyogenic granuloma, basal cell carcinoma, squamous cell carcinoma, verruca vulgaris, psoriatic plaque, and melanoma.
Author(s) Ralph P. Braun
Owner Ralph Braun→ send e-mail
Status released
Status update June 29, 2017
Status by Ralph P. Braun

String of Pearls Pattern[1]

This pattern represents the unique appearance of dotted or glomerular vesselsThis glossary term has not yet been described. arranged in a serpiginous distribution that may appear like a “string of pearls.” This pattern is highly suggestive of a 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 clear cell acanthoma.

String of pearls schematic.jpg

  1. An Atlas of Dermoscopy, Second Edition. Marghoob A. et al. CRC Press; 2012.