Atlas of Pediatric Dermatoscopy

Dermoscopy is a non-invasive technique that allows rapid and magnified in vivo observation of the skin, with visualization of morphologic features imperceptible to the naked eye. It has revolutionized the approach to pigmented skin lesions, greatly improving diagnostic accuracy. Furthermore, over the past few years it has been demonstrated to be very useful in the diagnosis, follow-up, and therapeutic monitoring of a range of other skin disorders, including cutaneous/mucosal infections, ectoparasitoses, inflammatory diseases, and hair and nail abnormalities. Being non-invasive, dermoscopy is particularly suitable for use in the pediatric population, in which invasive diagnostic procedures may be problematic. This atlas, containing a wealth of clinical and dermoscopic images, describes and illustrates the applications of dermoscopy in a wide variety of skin disorders that may be encountered in the pediatric population. Key features and other salient aspects are highlighted with the aim of enabling the clinician to reach a fast and reliable diagnosis in all cases. Particular attention will be dedicated to skin of color patients. 

Giuseppe Micali, MD, is Full Professor and Head of the Department of Dermatology, University of Catania, Italy. He has held frequent and longstanding scientific collaboration with US universities (University of Illinois, Northwestern University, New Jersey University, Miami University) leading to publication of several papers and international textbooks along with student’s exchange. He has also lectured on several occasions in different Asian countries establishing scientific collaborations with colleagues from Vietnam, Singapore, Philippines, Korea, Hong Kong and others. Italian Member of the Board of Representatives of the European Academy of Dermatology and Venereology (EADV), Past member of the International Affairs Committee of the American Academy of Dermatology (2019-2023), Ordinary member of the American Academy of Dermatology, International Society of Dermatology, American Dermatological Association, European Academy of Dermatology and Venereology, Royal College of Physicians of Edinburgh, European Dermatology Forum, and Honorary member of the German Society of Dermatology and the Vietnamese Society of Dermatology. He was in the executive committee of SIDeMaST (Italian Society of Dermatology) for 3 terms. Associate Editor of “Dermatologic Therapy” and the “Italian Journal of Dermatology and Venereology”. In the Editorial Board of Journal of the American Academy of Dermatology, International Journal of Dermatology (2005-2023), Journal of Dermatology Treatment, Journal of the American Academy of Dermatology International, Skin Appendage Disorders. Prof. Micali main areas of interest include: acne, rosacea, seborrheic dermatitis, non-invasive imaging techniques and their applications in dermatology, male genital disorders. The scientific activity consists of more than 700 publications including 430 appearing in PubMed. Editor of 10 international books and 10 national books. During the past 35 years he has actively participated as invited speaker and chairman to the most relevant national and international meetings and training courses related to Dermatology with lectures, oral presentations, and posters.

Francesco Lacarrubba, MD, is Full Professor at the Department of Dermatology, University of Catania, Italy, and Director of the Residency Program in Dermatology.  He has published widely on dermoscopy and other non-invasive techniques and is the author of more than 300 articles in international peer-reviewed journals as well as many book chapters. Editor of 6 international books. Dr. Lacarrubba is Junior Editor of the “Journal of European Academy of Dermatology and Venereology”, Section Editor of “Italian Journal of Dermatology and Venereology” and in the Editorial Board of “Dermatology Practical & Conceptual”, “Skin Research & Technology”, and “International Journal of Trichology”. He has actively participated in the most important Dermatology meetings in Italy, Europe, and the USA over the past 25 years with invited lectures, oral presentations, and posters. He is Past President of the Italian Association of Non-Invasive Diagnostics in Dermatology (a Member Society of ILDS), Ordinary Member of American Academy of Dermatology (AAD), European Academy of Dermatology and Venereology (EADV), International Society of Dermatology (ISD), International Dermoscopy Society (IDS), International Confocal Working Group (ICWG), Italian Society of Dermatology (SIDeMaST).

Giuseppe Stinco, MD, is a Full Professor and the Head of the Department of Dermatology at the University of Udine, Italy. He also serves as the Director of the Residency Program in Dermatology. After obtaining his medical degree from the University of Trieste, he completed four years of specialized dermatology training at the same institution. With over 28 years of experience as both a clinician and educator at the University of Udine, Prof. Stinco has made significant contributions to the advancement of dermatology, particularly in research and professional training.

He is the author of 531 scientific publications, encompassing both experimental and clinical aspects of dermatology across various subfields. His initial interest in pediatric dermatology emerged during his internship and residency, where he participated in pediatric dermatology clinics. This exposure to skin conditions in children highlighted the importance of diagnosing and treating dermatological diseases in this age group. It was also during this period that he began using capillaroscopy and Doppler laser techniques to study cutaneous microcirculation, an area of research that remains a central focus of his work.

Over the years, Prof. Stinco has developed a particular expertise in dermoscopy, especially in its application to the study of inflammatory skin diseases. He is an active member of several distinguished organizations, including the International Dermoscopy Society (IDS), the Italian Association of Non-Invasive Diagnostics in Dermatology (AIDNID), the European Academy of Dermatology and Venereology (EADV), the Italian Society of Dermatology (SIDeMaST), as well as its study groups focused on non-invasive diagnostics, epiluminescence, pediatric dermatology, and rare genetic diseases.

Giuseppe Argenziano, MD is Full Professor and Head of the Dermatology Unit at the University of Campania, Naples, Italy; Co-founder and past president of the International Dermoscopy Society; President of the Italian Society of Dermatology; and Editor-in-Chief of Dermatology Practical and Conceptual Journal. His main research field is dermato-oncology, being author of numerous scientific articles and books concerning dermoscopy, melanoma and non-melanoma skin cancer. As coordinator of the Melanoma Unit at the Campania University, he has established a successful tertiary, multidisciplinary, referral center particularly devoted to the diagnosis and management of patients with skin cancer. Over the past 25 years he has supervised over 500 foreign and Italian residents in Dermatology, established scientific collaborations with 1500+ colleagues from more than 50 Nations, and organized more than 500 national and international didactic meetings, courses and conferences (such as theConsensus Net Meeting on Dermoscopy and the First Congress of the International Dermoscopy Society). Professor Argenziano has authored more than 800 full scientific articles and produced landmark primary publications and books in the field of skin cancer and dermoscopy. Over the past 25 years he has been invited as speaker and/or chairman in more than 500 national and international conferences in the field of dermatology. His combined publications have received a sum total of 21.000+ citations with an h-index value of 73 (Scopus 2023).

Iria Neri, MD is Head of the Pediatric Dermatology Unit and the Rare Diseases Clinic at the Dermatology Unit IRCCS Azienda Ospedaliero Universitaria di Bologna and Director of the Specialized Outpatient Department of Pediatric Dermatology and Rare and Complex Pediatric Diseases, University of Bologna, where she also manages the referral center for ERN-skin diseases. Dr. Neri is Past President of the Italian Society of Paediatric Dermatology (SiDerP) and currently member of the Italian Society of Medical Dermatology (SIDeMaST), for which she coordinates the Group of Paediatrics Dermatology and Rare Diseases. She is also a member of the executive board of ESPD (since 2020), the International Paediatrics Dermatology Society, the Scientific Committee of Tuberous Sclerosis Association, the network of Italian Laminopathies and the Italian School of Atopy and she is an associate of the Italian Group of Paediatrics Dermatology (GIDEP) and of the Association of Italian Hospital Dermatologists (ADOI). She is Principal Investigator of a double-blind international study aimed at evaluating the efficacy and tolerability of Dupilumab in adult patients with moderate and severe atopic dermatitis and participated to the Italian Delphi Consensus Paper on Methotrexate in the Treatment of Skin Diseases. Dr. Neri has authored more than 294 scientific articles, published in international journals (referee IF=274,56). In scientific textbooks, she published 7 book chapters, 3 atlas of pediatric dermatology, 1 atlas on infantile hemangiomas and 1 atlas on pediatric dermoscopy.

Enzo Errichetti is Associate Professor at the Institute of Dermatology (Department of Medicine) of the University of Udine (Italy). He is the President of the Italian Association of Non-Invasive Diagnostics in Dermatology (AIDNID), Member of European Alliance of Associations for Rheumatology (EULAR) Task Force “Points to Consider for the definition of clinical and imaging features suspicious for progression to psoriatic arthritis, 2021 22D”, Executive Board member of the International Dermoscopy Society (IDS), Chair of the IDS Task Force on “Imaging in Skin of color”, and Chair of the Società Italiana di Dermatologia medica, chirurgica, estetica e di Malattie Sessualmente Trasmesse (SIDeMaST) Task Force on “Ethnic Dermatology”.
Internationally recognized as one of the pioneers and top experts about the dermoscopic applications in non-invasive diagnosis of inflammatory, infectious and infiltrative dermatoses (General Dermatology) as well as the use of dermoscopy in skin of color for neoplastic and non-neoplastic dermatoses. He is also active in the field of psoriasis, especially on the study of transition from psoriasis to psoriatic arthritis. He has been coordinator of several international multicentric studies involving research centers of 27 different countries in the world (EUROPE :Austria, Belgium, Croatia, France, Germany, Greece, Poland, Serbia, Spain, Sweden and Switzerland; ASIA: Saudi Arabia, Japan, India, Israel, Iran and Turkey; AMERICA: Argentina, Brazil, Chile and the United States of America; OCEANIA: Australia; AFRICA: Egypt, Guinea, Morocco, Nigeria and Rwanda). He is author of around 200 papers published in international peer-reviewed journals and over 50 book chapters as well as editor of four international books on dermoscopy and psoriasis.
He is also Section Editor/Associate Editor/Editorial Member of PubMed/Scopus indexed International Dermatological Journals (Dermatology and Therapy; Clinical, Cosmetic and Investigational Dermatology; Journal of Cosmetic Dermatology; Dermatology Practical and Conceptual; Italian Journal of Dermatology and Venereology; The Open Journal of Dermatology; Dermatology Reports; Turkish Journal of Dermatology; and Dermatopathology) and served as reviewer for more than 60 international journals and was awarded as top peer reviewer in 2017, 2018 and 2019 by Publons.