"Fat fingers:" A clue in the dermoscopic diagnosis of seborrheic keratoses Journal Article


Authors: Kopf, A. W.; Rabinovitz, H.; Marghoob, A.; Braun, R. P.; Wang, S.; Oliviero, M.; Polsky, D.
Article Title: "Fat fingers:" A clue in the dermoscopic diagnosis of seborrheic keratoses
Abstract: "Fat fingers" are thick digitate linear, curvilinear, branched, or oval/circular dermoscopic structures typically seen in seborrheic keratoses where they represent the gyri of their cerebriform surfaces. Their recognition is very useful in the diagnosis of these lesions, especially when the classic features (eg, milia, comedo-like openings) are absent. Histologically and by confocal microscopy the "fat finger" gyri are accentuated by pigmented keratin filling the sulci. "Fat fingers" must be differentiated from other linear structures such as "network-like structures"; branched streaks; network; globules; pigmented ovoid-nests; and streaks/pseudopods seen in different melanocytic and non-melanocytic lesions. © 2006 American Academy of Dermatology, Inc.
Keywords: adult; human tissue; major clinical study; clinical feature; histopathology; dermoscopy; confocal microscopy; microscopy, confocal; differential diagnosis; pigmentation; seborrheic keratosis; hand disease; keratosis, seborrheic; fat finger
Journal Title: Journal of the American Academy of Dermatology
Volume: 55
Issue: 6
ISSN: 0190-9622
Publisher: Mosby Elsevier  
Date Published: 2006-12-01
Start Page: 1089
End Page: 1091
Language: English
DOI: 10.1016/j.jaad.2006.08.028
PUBMED: 17097405
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 13" - "Export Date: 4 June 2012" - "CODEN: JAADD" - "Source: Scopus"
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  1. Steven Q Wang
    78 Wang
  2. Ashfaq A Marghoob
    534 Marghoob