Noninvasive differentiation between stable and unstable chronic plaque psoriasis using in vivo reflectance confocal microscopy Lisa Hoogedoorn, MD, Esther.

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Presentation transcript:

Noninvasive differentiation between stable and unstable chronic plaque psoriasis using in vivo reflectance confocal microscopy Lisa Hoogedoorn, MD, Esther A.W. Wolberink, MD, Peter C.M. van de Kerkhof, MD, PhD, Jan C.M. Hendriks, PhD, Marie-Jeanne P. Gerritsen, MD, PhD, Piet E.J. van Erp, PhD Journal of the American Academy of Dermatology Volume 73, Issue 5, Pages 870-872 (November 2015) DOI: 10.1016/j.jaad.2015.07.038 Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Psoriasis. A-C, Dermoscopic pictures by Vivacam: stable (A), unstable (B: chronic progressive; C: acute exacerbated) plaque. D-F, Reflectance confocal microscopy (RCM) images at stratum spinosum: 2 bright round refractive small inflammatory cells (D), some inflammatory cells (E), many inflammatory cells, but individual cells are discernible and not yet merged together to form an abscess (F). G-I, RCM images at dermoepidermal junction: non-edged dermal papillae (DP) with some round high refractive inflammatory cells (G), enlarged DP and increased number of inflammatory cells within the DP (H), enlarged DP and clearly an increased number of inflammatory cells within the DP (I). Journal of the American Academy of Dermatology 2015 73, 870-872DOI: (10.1016/j.jaad.2015.07.038) Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions