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A Novel Technique for Generating and Observing Chemiluminescence in a Biological Setting

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Published on: March 9, 2017

False "highlighting" with Wood's lamp.

Jonathan I Silverberg¹, Nanette B Silverberg

¹Department of Dermatology, St Luke's-Roosevelt Hospital Center, New York, New York.

Pediatric Dermatology

|July 4, 2012

Summary

This summary is machine-generated.

Wood's lamp evaluation aids in diagnosing skin pigment disorders like vitiligo. However, non-pathological substances, such as highlighter, can cause false positive results, mimicking true illnesses.

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Area of Science:

Dermatology
Medical Diagnostics

Background:

Wood's lamp examination is a standard diagnostic tool for evaluating pigmentary disorders of the skin.
Conditions like vitiligo exhibit characteristic fluorescence under Wood's lamp, aiding in diagnosis.

Observation:

A case study involving a 5-year-old Hispanic boy presented with apparent enhancing lesions on facial skin.
These lesions were found to be the result of the child applying highlighter to his face.

Findings:

The highlighter created fluorescence under Wood's lamp, mimicking pathological enhancing lesions.
This highlights the potential for false positives in Wood's lamp evaluations due to external agents.

Implications:

Physicians utilizing Wood's lamp must consider non-biological sources that can mimic dermatological conditions.
Awareness of potential mimics like makeup or craft materials is crucial for accurate diagnosis and avoiding unnecessary patient anxiety or treatment.