Chasing Rainbows” Beyond Kaposi Sarcoma’s Dermoscopy: A Mini-Review
2024

Chasing Rainbows: Understanding the Rainbow Pattern in Skin Lesions

Sample size: 33 publication Evidence: moderate

Author Information

Author(s): Karampinis Emmanouil, Toli Olga, Pappa Georgia, Vardiampasi Anna, Theofili Melpomeni, Zafiriou Efterpi, Bobos Mattheos, Lallas Aimilios, Lazaridou Elizabeth, Behera Biswanath, Apalla Zoe

Primary Institution: Second Dermatology Department, School of Health Sciences, Aristotle University of Thessaloniki, Greece

Hypothesis

What skin lesions exhibit the rainbow pattern in dermoscopy and what factors contribute to its appearance?

Conclusion

The rainbow pattern can be observed in various skin lesions beyond Kaposi sarcoma, influenced by factors such as lesion type, depth, and patient skin type.

Supporting Evidence

  • The rainbow pattern is a multicolored appearance in dermoscopy resulting from polarized light interaction with tissue.
  • It is a specific indicator of Kaposi's sarcoma but can also appear in other skin lesions.
  • Factors like lesion shape, vascularization, and skin pigmentation influence the visibility of the rainbow pattern.
  • Most lesions exhibiting the rainbow pattern were located on the extremities.
  • Dark-skinned individuals may show the rainbow pattern more prominently due to higher melanin content.

Takeaway

Some skin bumps can look like rainbows when doctors look at them closely. This happens for different reasons, like how deep the bump is or the color of the person's skin.

Methodology

A literature review was conducted to identify cases of skin lesions with the rainbow pattern and analyze their characteristics.

Limitations

The findings are based on isolated cases and studies, necessitating further research for validation.

Participant Demographics

Included dark-skinned and Caucasian patients.

Digital Object Identifier (DOI)

10.3390/dermatopathology11040035

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