#Book Review

Anatomy of Facial Melanoses

Published On: July 17, 2021 03:05 PM NPT By: Deeptara Pathak Thapa


This is an extremely informative, well written yet concise book with all descriptors of a disease including introduction, clinical description, histopathological features, prognosis and treatment. The clinical photographs, Woods lamp photographs, dermoscopic features photographs are of very good quality and are tagged with easily recognizable symbols.

Dr Bibush Amatya’s Handbook of Facial Melanosis, the first edition of Lap Lambert Academic Publishing, is an excellent book worth reading and seems well mounted for postgraduate medical students, young dermatologists and senior consultants alike, who want to improvise their practice with dermoscopy.

The book covers various diseases seen on the face like different types of naevi, common tumors, different types of pigmentation etc. It has been made very interesting, incorporating dermoscopic features, Woods lamp pictures, clinical photos and mentioning a brief introduction of each disease with epidemiology, etiology, the histopathological features along with prognosis and treatment of the diverse group of diseases. The dermoscopic features are coherently written and vividly depicted as different symbols like star, circle, rectangle, square etc. which are self-explanatory and easy for the readers to understand.

In chapter 2, different types of acquired melanocytic naevi are discussed, describing how a junctional nevus can be dermoscopically differentiated from an intradermal nevus or a compound nevus. Characteristic dermoscopic finding of junctional nevus being the reticulated pigment network with central brown dots, grouped bluish gray globules in compound nevus and bluish white structures in intradermal naevus.

In chapter 6, interesting findings like diffuse reddish-brown pigmentation, hem like pigment pattern and reticular pattern are seen in clofazimine induced pigmentation which is very informative.

In chapter 13, various types of melasma are discussed. Dermoscopic features of well-defined networks are seen in epidermal melasma whereas less well-defined networks in dermal melasma. Differentiating melasma with the aid of dermoscopy helps the treating physician for choosing treatment modality for different types of melasma.

In chapter 16, a very uncommon condition like peri-buccal pigmentation of Brocq has been mentioned. The characteristic dermoscopic features are erythema, perifollicular scaling, enlarged follicular opening with yellowish keratotic plugs surrounded by slate blue globules. This adds to the knowledge in the field of dermoscopy.

Tumors, the name itself not only brings psychological stress to the patients but also creates a diagnostic dilemma for dermatologists. Being able to distinguish between benign and malignant tumors dermoscopically, is an important tool which helps decide upon conservative management over surgery and is a boon for treating physicians. Diagnosing benign lesions like seborrheic keratosis has been nicely described in chapter 20 and is very useful. Clinically different variants as well as histopathological variants are mentioned. Characteristic dermoscopic features with histopathological correlation have been nicely put forward which help the readers to understand the features in depth. Dermoscopic features like gyri and sulci histopathologically correlate with pseudo follicular openings on the surface. Other features like milia-like cysts, comedo-like opening, cerebriform pattern have nicely been depicted. Similarly in chapter 21, solar lentigo, a benign pigmented condition, has been described; its dermoscopic features are comedo-like opening, diffuse opaque brown pigmentation, and finger-prints like features are worth mentioning.

Overall this is an extremely informative, well written yet concise book with all descriptors of a disease including introduction, clinical description, histopathological features, prognosis and treatment. The clinical photographs, Woods lamp photographs, dermoscopic features photographs are of very good quality and are tagged with easily recognizable symbols. I personally feel honored to review this book and would highly recommend this book to the readers. A book of such kind is a gift to the field of dermoscopy.  (The author is Associate Professor at Nepal Medical College and Teaching Hospital)


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