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Reflectance confocal microscopy in paediatric patients: Applications and limits
Camila Scharf1, Eugenia Veronica Di Brizzi1, Gaetano Licata2
1Dermatology Unit, University of Campania L.Vanvitelli, Naples, Italy.
Experimental Dermatology
|October 20, 2022
Summary
Reflectance confocal microscopy (RCM) is a valuable tool for diagnosing skin conditions in children. This non-invasive method aids in identifying lesions like Spitz nevi and congenital nevi, potentially reducing the need for biopsies.
Area of Science:
- Dermatology
- Pediatric Dermatology
- Medical Imaging
Background:
- Reflectance confocal microscopy (RCM) is established for adult diagnostics.
- Limited data exists on its utility in pediatric dermatology.
- Non-invasive diagnostic tools are crucial for pediatric patients.
Purpose of the Study:
- Evaluate the indications for RCM in patients under 19.
- Assess the benefits of RCM in pediatric dermatology.
- Determine RCM's role in improving diagnostic accuracy for children's skin lesions.
Main Methods:
- Retrospective case series.
- Analysis of RCM procedures performed between January 2011 and December 2021.
- Inclusion of 215 pediatric patients (under 19 years old).
Main Results:
- Most common indications included Spitz nevi (39.5%), congenital nevi (23.2%), and atypical melanocytic lesions (21%).
- Two cases of melanoma were detected among atypical lesions.
- RCM provided useful diagnostic information for various pediatric skin conditions.
Conclusions:
- Reflectance confocal microscopy is a useful instrument for evaluating pediatric patients.
- RCM can potentially avoid unnecessary biopsies in children.
- This technique enhances diagnostic accuracy in pediatric dermatology.
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