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Identifying local features by dermoscopy can assist in the diagnosis of skin lesions. It was originally in the form of a column written by Dr Amanda Oakley and published by New Zealand Doctor in March 2010. It was revised and prepared for DermNet by Niket Shah, final year medical student, University of Otago, in May 2020.
For each of the 16 cases, study the image(s) and then answer the questions. You can click on the image to view a larger version if required. Each case should take approximately 2 minutes to complete.
Describe the local dermoscopic feature.
This lesion has leaf-like areas and blue-grey globules. Leaf-like structures describe the edge of the lesion as to be like the edge of a leaf. There are also greyish-blue bulbous structures (ovoid masses, globules or clods).
What is the diagnosis?
Pigmented basal cell carcinoma