Outcome of facial rashes with non-specific histological features: a long-term follow-up of 64 cases.
Facial inflammatory dermatoses can be difficult to diagnose in their early stages; skin biopsy may help but often shows indeterminate features. The aims of our study were to identify patients presenting with a facial dermatosis requiring skin biopsy, in whom the initial histological features were classified as "non-specific", to determine the eventual diagnostic outcome, and to attempt to identify subtle early histologic features. We located 79 such cases with indeterminate histology from 45,000 dermatopathology reports 1972-1987. The original biopsies were assessed and scored using a check-list of 20 features and the patients' case-records up to 1992 were examined. Follow-up information was available in 64 cases and an eventual clinical diagnosis was made in 54 (84%) of these; the commonest diagnoses were rosacea (26%), chronic discoid lupus erythematosus (24%) and seborrheic or unclassified dermatitis (17%). Histological differences were seen in the original biopsies of these three diagnostic categories, although none was predictive. We conclude that clinical follow-up leads to the diagnosis of most facial rashes initially showing "non-specific" histology.
Rhodes
L E
LE
Dept. of Dermatology, Royal Liverpool University Hospital, UK.
Parslew
R A
RA
Ashworth
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003872:Dermatitis / Q000473:pathology; D005148:Facial Dermatoses / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008179:Lupus Erythematosus, Discoid / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012393:Rosacea / Q000473:pathology