Diascopy

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Diascopy of a red dot basal cell carcinoma on the left mid back of a 74-year-old female. The red dot basal cell carcinoma on the left mid back is circled; the tumor blanches when a glass microscope slide is pressed against it. From a case series by Philip R Cohen, 2017.[1]

Diascopy is a test for blanchability performed by applying pressure with a finger or glass slide and observing color changes.[2][3][4][5]

It is used to determine whether a lesion is vascular (inflammatory or congenital), nonvascular (nevus), or hemorrhagic (petechia or purpura). Hemorrhagic lesions and nonvascular lesions do not blanch ("negative diascopy"); inflammatory lesions do ("positive diascopy"). Diascopy is sometimes used to identify sarcoid skin lesions, which, when tested, turn an apple jelly color.

Diascopy with glassware is used as a method of diagnosing bacterial meningitis, as the rashes caused by the illness are non-blanching.[6]

References

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  2. ^ Marks, James G; Miller, Jeffery (2006). Lookingbill and Marks' Principles of Dermatology (4th ed.). Elsevier Inc. Page 29. Lua error in Module:Citation/CS1/Configuration at line 2172: attempt to index field '?' (a nil value)..
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