Irregular Blotches Research Articles

Dermatoscopy of melanoma according to type, anatomic site and stage: a 2020 update

The indisputable contribution of dermatoscopy in early diagnosis of melanoma is widely recognized. In the last quinquennium, new data concerning specific melanoma subtypes have come to light. The dermatoscopic morphology of superficial spreading melanoma (SSM) has been extensively investigated in the literature. Atypical network, irregular dots, irregular globules, irregular streaks and irregular blotch correspond to histopathologic alterations at the level of the junction, blue-white veil and atypical vessels suggest intradermal growth, whereas regression structures, negative network and white shiny streaks might reflect junctional or dermal alterations. The list of melanoma specific criteria has been recently updated to include features that typify early melanoma, such as irregular hyperpigmented areas and prominent skin markings and features seen in melanoma on sun damaged skin such as angulated lines. Nodular melanoma lacks most of the aforementioned criteria and is typified by the coexistence of blue and black color, atypical vessels and pink color. Lentigo maligna dermatoscopic criteria mainly develop at the outline of the follicular openings. However, at an early stage these features might be very subtle and the diagnosis should be based on the exclusion of benign tumors (inverse approach). Acral lentiginous melanoma is typified by a parallel ridge pattern, but also SSM criteria should be taken into consideration. The diagnosis of subungual melanoma is based on the assessment of the color and characteristics of the pigmented nail band. For the diagnosis of mucosal melanoma, the assessment of colors is more informative than the assessment of structures and the detection of blue, white or gray should raise the suspicion of melanoma. White shiny streaks and regression structures are the most common features of desmoplastic melanoma. The diagnosis of nevoid melanoma might be highly challenging and require information on the lesion's history. Melanoma on small- and medium-sized congenital nevi is typified by an eccentric location of the suspicious area, negative network and gray angulated lines. Recent advances in knowledge on the dermatoscopic characteristics of peculiar subtypes of the tumor significantly enrich the diagnostic armamentarium of clinicians. The challenge of the forthcoming years is to better characterize biologically aggressive melanomas and to optimize the screening strategies so as to identify them.

Cutaneous Melanoma Arising in Congenital Melanocytic Nevus: A Retrospective Observational Study

Background: Congenital melanocytic nevi (CMN) are benign proliferations of melanocytes usually present at birth. The magnitude of the melanoma risk for CMN is controversial, generating an ongoing debate on the best approach to manage these lesions. Objective: To perform a retrospective, observational study with the aim to evaluate the prevalence of CMN-associated melanomas in tertiary referral centers, as well as the eventual correlation between clinical, dermoscopic, and histological features of CMN-associated melanomas. Methods: A single-center retrospective observational study was performed on all clinical and dermoscopic images of histologically confirmed melanomas arising on CMN over a 14-year period (January 2005 to March 2019). Results:Our database included 2,159 melanomas in the considered period. Of those, 27 (1.3%) were CMN-associated melanomas. The mean age of patients with CMN-associated melanoma was 33 years (range, 11–70 years). The mean diameter of CMN-associated melanoma was 18 mm (range, 6 mm to 20 cm), and 56% were located on the back. Twenty-one (77.8%) of CMN-associated melanomas arose on small CMN (<1.5 cm), 5 (18.5%) on medium-sized CMN (1.5–19.9 cm), and 1 (3.7%) on a large/giant type (≥20 cm). The majority of CMN-associated melanomas (63%) exhibited a globular dermoscopic pattern in their benign part, while a blue-white veil and irregular blotches were the most frequent dermoscopic features in the malignant part. About three quarters of melanomas occupied 10–50% of the nevus surface. Breslow thickness was higher in melanomas involving less than 10% of nevus surface (mean thickness, 1 mm) than in those affecting 10–50 and >50% of the nevus surface (0.8 and 0.7 mm, respectively). Conclusions: In our series, small CMN was the most frequent type of CMN-associated melanoma. Although the risk of melanoma is increasing by the increasing size of CMN, our finding is definitely related to the much higher prevalence of small CMN in the general population as compared to the prevalence of intermediate-sized and large CMN. Limitations: Small sample size, single-center experience, retrospective design.

Parotocinclus nandae, a new distinctive colored catfish (Loricariidae: Hypoptopomatinae) from the upper Rio Paraguaçu, Bahia State, northeastern Brazil

A new species of Parotocinclus from the upper Rio Paraguaçu, Bahia, Brazil, is described. The new species is distinguished from all congeners by its unique color pattern, with irregular dark blotches resulting in a somewhat marble-spotted pattern on head and trunk of most specimens and dorsum of head with a conspicuous V-shaped light mark from tip of snout to nares. The new species is also distinguished from congeners by having the lower lip elongated posteriorly and reaching or surpassing the anterior margin of cleithrum on the pectoral girdle, the canal cheek plate on the ventral surface of the head reduced and with a slightly concave margin, and abdomen covered by small embedded platelets, without contact with each other and not arranged in a line between the pectoral-fin axilla and pelvic-fin origin. The presence of a thick and rough skin in the interradial membrane of pelvic fin exclusively in the females of P. nandae is reported by the first time to occurs in Siluriformes.

Seminemacheilus dursunavsari, a new nemachelid species (Teleostei: Nemacheilidae) from Turkey

Seminemacheilus dursunavsari , new species, is described from the Goksu River drainage, Eastern Mediterranean Basin, Konya Province, Turkey. This species is distinguished from the other members of the genus by a combination of the following characters: having irregular molted dark black spots and blotches on flanks, lacking blotches and spots on dorsal faces of head and ventral part of body, possessing fused black spots at base of caudal fin, a saddle-like black spot on the dorsal-fin origin, and blunt snout. Seminemacheilus dursunavsari n. sp. is also diagnosed from S. lendlii , S. ispartensis and S. ahmeti by 13 fixed, diagnostic nucleotide substitutions in the mtDNA COI barcode region, and a K2P genetic distance of 5.8, 5.6 and 4.7%, respectively.

Epinephelus fuscomarginatus (Perciformes: Epinephelidae), a new species of grouper from off the Great Barrier Reef, Australia.

A new species of epinephelid fish from northeastern Australia is described based on five specimens 408-564 mm SL collected by deep water demersal dropline fishing. Epinephelus fuscomarginatus sp. nov. is known from the Capricorn Channel, off the southern end of the Swain Reefs, Qld, Australia, in depths of 220-230 m. It is distinguished by a combination of dorsal-fin rays XI, 14, pectoral-fin rays 17, anal-fin rays III, 8, caudal-fin rounded, lateral-line scales 60-67, gill rakers 9-10 + 16-19 = 25-28, body depth 3.0-3.4 in SL, angle of preopercle broadly rounded, bearing 4-9 small non-prominent serrae, midlateral part of lower jaw with 2 rows of teeth, tooth patches on vomer and palatines narrow, in 2-3 and 2-4 rows, respectively, and coloration including broad dark brown margins to the soft dorsal, anal and caudal fins. There are no dark spots on the head, body, or fins at any known size and in subadults there are two faint pale brown bars radiating from the eye to the posterior margin of the opercle, and diffuse irregular brown wavy bars and blotches on the sides of the body. Comparison of the mitochondrial cytochrome c oxidase subunit 1 (CO 1) genetic marker utilised in DNA barcoding produced modest but consistent genetic divergences of 1.10% and 2.70 % between E. fuscomarginatus sp. nov. and its closest sampled congeners, E. magniscuttis and E. epistictus, respectively. Further evidence is presented to indicate that populations of E. epistictus currently recognised from the Indian Ocean east to the Indo-Australian Archipelago may be distinct from those from the Sea of Japan to the East China Sea.

Lesions Mimicking Melanoma at Dermoscopy Confirmed Basal Cell Carcinoma: Evaluation with Reflectance Confocal Microscopy

Background: Atypical basal cell carcinoma (BCC), characterized by equivocal dermoscopic features typical of malignant melanoma (MM), can be difficult to diagnose. Reflectance confocal microscopy (RCM) enables in vivo imaging at nearly histological resolution. Objectives: To evaluate with RCM atypical melanocytic lesions identified in dermoscopy, according to common RCM criteria for the differential diagnosis of BCC, and to identify representative RCM parameters for superficial (sBCCs) and nonsuperficial (nsBCCs) basal cell carcinomas (BCCs). Methods: A retrospective analysis of consecutive patients evaluated with RCM, selecting excised lesions classified at dermoscopy with ≥1 score from the re visited 7-point checklist, mimicking melanoma, registered between 2010 and 2016. Cluster analysis identified BCC subclassifications. Results: Of 178 atypical lesions, 34 lesions were diagnosed as BCCs with RCM. Lesions were confirmed BCCs with histopathology. Dermoscopic features included atypical network (55.9%) and regression structures (35.5%) associated with sBCCs, and an atypical vascular pattern (58.8%) and irregular blotches (58.8%) with nsBCCs. Hierarchical cluster analysis identified 2 clusters: cluster 1 (100% sBCCs) was characterized by the presence of cords connected to the epidermis (90%, p < 0.001), tumor islands located in the epidermis (100%, p < 0.001), smaller vascular diameter (100%, p < 0.001) and solar elastosis (90%, p = 0.017), and cluster 2 (nsBCCs 85%) was defined by the dermic location of tumor islands (87.5%, p < 0.001) with branch-like structures (70.8%, p = 0.007) and surrounding collagen (83.3%, p = 0.012), peripheral palisading (83.3%, p = 0.012) and coiled vascular morphology (79.2%, p < 0.001) with a larger vascular diameter (50%, p < 0.001). Conclusions: RCM is able to diagnose BCCs mimicking melanoma at dermoscopy and seems able to identify sBCCs and nsBCCs.

First Report of Curvularia asianensis Causing Leaf Blotch of Epipremnum pinnatum in Guangxi Autonomous Region of China

Epipremnum pinnatum Engl. is a flowering plant in the family Araceae. In southern China, it is often cultivated for medicinal and ornamental purposes. A distinct leaf blotch was observed on E. pinnatum in October 2017. Symptoms included gray or tan irregular blotches, with reddish to yellow margins. Portions of the symptomatic leaves were surface sterilized in 70% ethanol for 30 s and then in 2% NaClO for 1 min, rinsed three times in sterile distilled water, and plated onto potato dextrose agar (PDA). Seven strains (GUCC 8601 to GUCC 8607) from four diseased E. pinnatum plants were obtained by single spore selection. Fungal colonies on PDA reached 70 to 75 mm in diameter after 7 days, were velvety to slightly powdery, and were gray olivaceous to olivaceous black both top and reverse. Conidiophores were single or in groups, septate, straight or flexuous, and geniculate. Conidiogenous cells were smooth walled to finely verruculose, terminal or intercalary, proliferating sympodially, pale brown to brown, subcylindrical to swollen, and 6 to 14 × 3 to 5 μm (n = 30). Conidia were curved, pale brown to brown, 3 to 4 distoseptate, 23 × 9 μm (n = 50) with a protuberant hilum; morphology was consistent with Curvularia asianensis Manamgoda, L. Cai & K. D. Hyde, isolated from a dried Panicum sp. leaf in northern Thailand (Manamgoda et al. 2012). The internal transcribed spacer (ITS) region and partial sequences of two protein-coding genes, namely, glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and translation elongation factor 1-α (TEF1), were amplified using primers ITS1 and ITS4 (White et al. 1990), gpd1 and gpd2 (Berbee et al. 1999), and EF983F and 2218R (Schoch et al. 2009). The ITS, GAPDH, and TEF1 sequences were compared with entries in GenBank database, through nucleotide BLAST search, and our isolates showed higher than 99% identity to the ex-type strain (MFLUCC 10-0711) of C. asianensis (ITS, JX256424; GAPDH, JX276436; and TEF1, JX266593) for these three gene regions. The three gene regions were combined into a multigene phylogenetic tree. On the basis of morphological characteristics and nucleotide homology, our isolates were confirmed as C. asianensis. For pathogenicity tests, mycelial disks (5 mm in diameter) cut from 1-week-old PDA cultures of two strains (GUCC 8601 and GUCC 8602) were placed on four healthy leaves (two inoculated points on every leaf) of an E. pinnatum plant under natural conditions on 20 November 2017 and removed after 48 h. Leaves inoculated with sterile PDA disks served as controls. Within 24 h after discs were removed, tan lesions began to appear on the leaves. Seven days after inoculation, all inoculated leaves developed blotch symptoms consistent with what was observed in nature. C. asianensis strains were reisolated from infected tissues and confirmed by the methods mentioned above. Controls remained healthy. To our knowledge, this is the first report of C. asianensis causing leaf blotch disease on E. pinnatum in China.

First Report of Leaf Anthracnose Caused by Colletotrichum alatae on Water Yam (Dioscorea alata) in China

Water yam (Dioscorea alata [Dioscoreaceae]) is a vegetatively propagated tuberous food crop cultivated widely in the tropics and subtropics (Mignouna et al., 2003). It is the most widely distributed species of yam in China and eaten mainly as a vegetable. During July 2016, anthracnose-like lesions were observed on the leaves of cultivar Da56 at a plantation in Danzhou City, Hainan Province. Leaf symptoms began as small, brown, pinpoint spots ＜1 mm in diameter and enlarged to dark brown to almost black, irregular blotches ＞10 mm diameter with yellow haloes. Approximately 35% of the plants showed the same symptoms on their lower leaves. Symptomatic leaves were collected randomly from different parts of the field. Tissue was removed from the margin of three lesions per leaf. It was then surface sterilized in 75% ethanol, air-dried, plated on potato dextrose agar plates (PDA) and incubated at 28℃ and a 12-h photoperiod. Colonies with similar characteristics were produced after 4 days. Four isolates (DA1605-16...

DERMOSCOPY OF THE MONTH Nevi with Site-Related Atypia

AbstractThe term “nevi of special sites” refers to melanocytic nevi of specific anatomic locations including the breast, axillae, umbilicus, genitalia, flexural areas, acral surfaces, ear, scalp and the conjunctiva. Nevi from these anatomic sites display sometimes dermoscopic and histological features of melanoma, resulting in unnecessarily high rates of excisions and re-excisions. Some authors have categorized nevi excised in the axillary, breast, umbilical and perineal areas as the nevi of the milk line. Two patients, a 32-year-old female and 23-year-old male with breast and periumbilical pigmented lesions, presented to our Department during 2017. Dermoscopy revealed features that were highly specific for melanoma. Excisional biopsies were done and histopathology revealed benign nevi with present site-related atypia. Irregular blotches, non-uniform radial streaks, blue-gray veil, and regression are the most specific features of melanoma of the breast and flexural areas. Excision is always recommended in pigmented lesions on the breast and flexural areas, which exhibit these features. However, larger studies are needed to define specific criteria required to distinguish special-site nevi from melanoma.

Five new species of Parapercis (Perciformes: Pinguipedidae) from southeast Asia and northwest Australia

Five new species of sandperch (Pinguipedidae: Parapercis) from southeast Asia and northwest Australia are described. Parapercis soliorta sp. nov., known from a single specimen acquired from the Iloilo Central Market, taken off Iloilo, Panay Island, Philippines, is readily distinguished by a unique colour pattern including a series of nine brilliant yellow-ringed red spots along the body and caudal fin. Parapercis rubricaudalis sp. nov. is described from 15 specimens trawled between Dampier and Cape Leveque, Western Australia in 70–119 m and a single specimen taken by aquarium fish collectors off Zambales, Luzon, Philippines. It has the posterior end of the opercular ridge armed with two or three strong spines, the margin of the preopercle, subopercle and interopercle strongly serrated, and colouration including six broad irregular orange to reddish bands across the body, and the pelvic fins and lower third of the caudal fin crimson-red. A complex of three closely related species, Parapercis flavipinna sp. nov. from the Philippines, Parapercis caudopellucida sp. nov. from Myanmar and Parapercis hoi sp. nov. from northwest Australia and the Philippines, share a series of six or seven irregular dusky double blotches along the sides, a series of small black spots along the base of the soft dorsal-fin, a pair of dusky blotches on the caudal-fin base, and mostly similar meristic values. Parapercis hoi sp. nov. is known from four specimens trawled off Broome, Western Australia, in 97–109 m and one specimen trawled in the Sibuyan Sea, Philippines, in 73–84 m. It may be distinguished from its two closest congeners by cycloid cheek scales, a distinctive anal-fin colouration, and lower pectoral-fin ray, gill raker and lateral-line scale counts. Parapercis caudopellucida sp. nov., trawled in 125–129 m in the Andaman Sea off southern Myanmar, is described from two specimens. It differs from its two closest congeners most obviously by cycloid cheek scales, caudal-fin colouration, and the presence of a dusky bar extending posteroventrally from the tip of the maxilla to the anteroventral edge of the preopercle. Parapercis flavipinna sp. nov. is described from two specimens acquired from the Iloilo Central Market, taken off Iloilo, Panay Island, in the Philippines. It is distinguished most readily by the presence of ctenoid cheek scales and colouration including rows of bright yellow spots on the anal and caudal fins, a yellow upper lip, a series of yellow streaks and spots on the head, and fleshy pectoral-fin base with a large dark purplish grey blotch followed by a distinct white-edged black bar.

MtDNA differentiation and taxonomy of Central Asian racerunners of Eremias multiocellata-E. przewalskii species complex (Squamata, Lacertidae)

We provide an integrative analysis of the diversity of the E. multiocellata—E. przewalskii species complex in Central and Middle Asia using morphological and molecular (COI DNA-barcoding) data. We report preliminary data on mtDNA variation within this group and clarify the taxonomic status and distribution of the members of the species complex. We also provide a description of a new Eremias species from Eastern Kazakhstan and western Mongolia, where it occurs in sympatry with E. multiocellata sensu stricto, from which it can be clearly differentiated using both morphological and molecular characters. The new species, described as Eremias dzungarica sp. nov., is assigned to the subgenus Pareremias on the basis of the following features: subocular not reaching mouth edge; one frontonasal; two supraoculars; the row of small granular scales between supraoculars and frontal with frontoparietals absent; distance between the femoral pore rows being wide; femoral pore rows not reaching knee-joint; coloration pattern with light colored ocelli with black edging. The new species can be distinguished from its congeners on the basis of the following morphological attributes: a medium-sized lacertid lizard, maximum snout-vent length (SVL) = 64.5 mm, tail being ca. 1.5 times longer than body length (SVL), hindlimbs relatively long (hindlimb length to SVL ratio 0.46); subocular scale not reaching mouth edge, in touch with 6–8 supralabials; males with bright coloration consisting of 2–3 dorsolateral rows of light-colored ocelli with thick black edging; the ventral row of ocelli in life is greenish to bluish; dorsal pattern consisting of black irregular blotches along the middorsal line. We also report on the high genetic and morphological diversity of E. multiocellata in Mongolia and China, synonymize E. m. bannikowi with the nominative form E. m. multiocellata, discuss variation within E. przewalskii, synonymize E. p. tuvensis with the nominative form E. przewalskii, provide new data on E. cf. reticulata and E. m. tsaganbogdensis, confirm validity and clarify distribution ranges of E. stummeri, E. szczerbaki and E. yarkandensis and discuss further progress on taxonomic studies of the E. multiocellata—E. przewalskii species complex.

Systematics of a small Gehyra (Squamata: Gekkonidae) from the Einasleigh Uplands, Queensland: description of a new range restricted species.

The tropical savannah landscapes of Australia's north, though previously overshadowed by the biodiverse rainforests of the Wet Tropics, are themselves now attracting interest for their biological significance and uniqueness. The Einasleigh Uplands region of north-east Queensland is home to a diverse group of mammals and reptiles and was previously recognised for its importance in shaping speciation in birds. Here we add a small saxicoline gecko to a growing list of recently described reptiles that are endemic to this region. Phylogenetic analyses including Gehyra species from the arid zone and the monsoonal tropics reveal that small Gehyra geckos in this area, while closely resembling Gehyra nana from the Top End and Kimberley, form a clade that is geographically isolated and phylogenetically distant from the G. nana complex. Instead, the Einasleigh Uplands taxon is sister to a large, arboreal species within the arid zone clade. It is readily distinguished from all lineages within the G. nana complex, its closest relative G. purpurascens, and all other rock-dwelling species from the arid zone by a combination of its very small body size, few subdigital lamellae, and mid tan to golden dorsal coloration with a pattern of scattered pale ocelli and irregular dark-brown blotches on a stippled background. We therefore describe this taxon as a new Australian species of Gehyra, Gehyra einasleighensis sp. nov., based on a combination of phylogenetic separation, morphological characters and discrete geographic distribution.

Evaluation of dermoscopic features for distinguishing melanoma from special site nevi of the breast

Nevi of special sites display aberrant clinical and histologic features that can be difficult to distinguish from melanoma, leading to unnecessarily high rates of excision with poor cosmetic or functional results. Dermoscopy can improve clinical assessment of melanocytic lesions by visualizing morphologic structures beyond the epidermis. We sought to assess the value of specific dermoscopic features for diagnosing melanocytic neoplasms arising on the breast area in females. In this retrospective cohort study, we collected clinical and dermoscopic information for 104 nevi and 13 melanomas removed from the breast, chest, and areola, and evaluated the diagnostic performance of each dermoscopic feature. Melanomas from the breast area were larger (P=.0175) than nevi and occurred in older women (P=.0117). Irregular blotches, nonuniform radial streaks, blue-gray veil, and regression were highly specific for melanoma, whereas atypical network and irregular dots and globules had low to moderate specificity. This study was retrospective with a small sample size. Compared to melanocytic neoplasms from other sites, atypical network and irregular dots andglobules were poor indicators for breast melanoma. Irregular blotches, nonuniform radial streaks, blue-gray veil, and regression were highly specific and should heighten clinical suspicion for melanoma arising on the breast.

A new species of spiny-backed treefrog (Osteocephalus) from Central Amazonian Brazil (Amphibia: Anura: Hylidae).

A new species of treefrog of the genus Osteocephalus is described from the Rio Abacaxis, a southern tributary of the Amazonas in the state of Amazonas, Brazil. This member of the O. buckleyi group is characterized by green dorsal colouration with irregular blotches of various shades of brown, light venter with tan spots and bold dark markings on the posterior surfaces of the thighs. It can be distinguished from its closest relative, O. helenae from the same general area, by the lack of an axillary membrane, a few indistinct tubercles on the proximal segment of Finger IV and single ulnar tubercles.

Systematics of small Gehyra (Squamata: Gekkonidae) of the southern Kimberley, Western Australia: redescription of G. kimberleyi Börner & Schüttler, 1983 and description of a new restricted range species.

Ongoing fieldwork and molecular research continues to reveal that the monsoonal tropics of northern Australia contain more vertebrate species than currently recognised. Here we focus on two morphologically distinctive, yet unrecognised forms in the genus Gehyra from the southern Kimberley region and surrounding deserts. We base our descriptions on a combination of unpublished genetic data and a morphological examination of voucher specimens. We recognise and redescribe G. kimberleyi, a species with a broad distribution extending over most of the south-west Kimberley, across the Great Sandy Desert and into the far northern Pilbara. This species has been previously assigned to G. pilbara owing to its frequent occurrence on termite mounds and short snout, but can be distinguished from G. pilbara and other regionally sympatric Gehyra by its moderate body size, moderate number of pre-cloacal pores in males (12-17) and aspects of dorsal colouration. We also describe G. girloorloo sp. nov., a small rock-dwelling species with a short snout, low number of pre-cloacal pores in males (8-11) and pinkish-grey dorsal colouration with alternating series of indistinct pale spots and irregular transversely-aligned dark blotches. The new species appears to be restricted to a relatively small region of exposed limestone karst in the south-west Kimberley and is entirely circumscribed by morphologically similar congeners.

A new species of the genus Pachytriton (Caudata: Salamandridae)from Hunan and Guangxi, southeastern China.

Despite recent descriptions of multiple new species of the genus Pachytriton (Salamandridae), species richness in this China-endemic newts genus likely remains underestimated. In this study, we describe a new species of Pachytriton from northeastern Guangxi and southern Hunan, southeastern China. Both molecular analyses and morphological characters reveal that the new species can be distinguished from its congeners. The mitochondrial gene tree identified the new lineage highly divergent (uncorrected p-distance &gt; 5.8 % by mitochondrial gene) from currently recognized species and placed it as the sister species of P. xanthospilos and P. changi. Furthermore, a nuclear gene haplotype network revealed a unique haplotype in the new populations. Statistical species delimitation using Bayes factor strongly supported the evolutionary independence of the new species from the closely-related P. xanthospilos. Morphologically, the new species is characterized by a uniformly dark brown dorsum without bright orange dots or black spots; irregular orange blotches on the venter; tips of fingers and toes orange on the dorsal side; moderately developed webs on the side of digits; absence of costal grooves between the axilla and groin; and widely open vomerine tooth series.

The utility of dermoscopy-guided histologic sectioning for the diagnosis of melanocytic lesions: A case-control study

Dermoscopy allows for visualization of morphologic structures beyond the epidermis, including features that may indicate early malignant transformation. However, dermoscopic features are rarely considered during routine histologic sectioning, and areas of clinical concern may be missed during microscopic evaluation. We assessed the diagnostic impact of a dermoscopy-guided micropunch score for the evaluation of melanocytic lesions. In this case-control study, we evaluated 150 scored melanocytic lesions. Original tissue specimens were reprocessed to create a control group, in which a new score was introduced elsewhereinthe lesion to guide an alternative plane of section. Slides were reviewed in a randomized, double-blinded manner to assess histologic features and render a diagnosis. Dermoscopy was also reviewed. The proportion of cases with a higher grade in the original, dermoscopy-guided section was statistically significant. Four invasive melanomas were exclusively identified using the scoring protocol. The presence of regression structures, negative pigment network, radial streaming or pseudopods, and irregular blotches were highly specific for a higher diagnostic grade. This study is retrospective and reprocessing tissue does not perfectly mimic routine sectioning. Dermoscopy can identify important, histologically high-grade areas, and this information can be used to optimize the sectioning of melanocytic neoplasms.

A new species of Scinax Wagler (Anura: Hylidae) from Mato Grosso, Brazil.

A new species of the Scinax ruber Clade is described from Municipality of Barra do Garças, State of Mato Grosso, Brazil. It is diagnosed by its size (SVL 29.4-35.4 mm in males); dorsum with a background that varies from light and dark gray to dark brown, with round and irregular dark blotches; hidden surfaces of thigh and shank light or dark brown, with lighter, large and irregular blotches (yellow in life); and nuptial pad that covers the medial margin of Metacarpal I, and obscures the posterior portion and the outer margin of the inner metacarpal tubercle. It is most similar with Scinax rupestris, from which it differs by having larger adult males; less developed nuptial pad; and hidden surfaces of thigh and light or dark brown, with lighter, large and irregular blotches (yellow in life). The new species occurs near the headwaters of permanent or temporary streams, where males call from vegetation or rocks at the margins of small streams.

A new species of Corydoras Lacépède, 1803 (Siluriformes: Callichthyidae) from the río Madre de Dios basin, Peru

ABSTRACT A new species of Corydoras is described from the río Madre de Dios basin, Peru. The new species can be distinguished from its congeners by presenting the following features: a longitudinal black stripe along midline of flank; mesethmoid short, with anterior portion poorly developed; serrations on posterior margin of pectoral spine directed towards the tip of the spine; dorsal fin with the region of the first branched ray, including membrane, with concentration of black pigmentation, the remaining areas with irregular black blotches; absence of a vertically elongated black blotch across the eyes; conspicuously rounded moderately-developed black spots on the snout; and ventral expansion of infraorbital 1 moderately developed.

The BRAAFF checklist: a new dermoscopic algorithm fordiagnosing acral melanoma.

The parallel ridge pattern (PRP) is considered the dermoscopic hallmark of acral melanoma (AM). However, it was recently shown that approximately one-third of AMs do not display a PRP dermoscopically, rendering their detection more troublesome. To investigate the diagnostic accuracy of dermoscopic criteria for the diagnosis of AM. Dermoscopic images of consecutive cases of histopathologically diagnosed AMs and acral naevi with histopathological diagnosis or with at least 1year of follow-up were evaluated by three independent investigators for the presence of predefined criteria. Crude and adjusted odds ratios and their corresponding 95% confidence intervals were calculated by univariate and multivariate logistic regression, respectively. Receiver operating characteristic curves were used to choose among competing classification schemes. In total 603 lesions (472 naevi and 131 AMs) were included in the study. A scoring system (named BRAAFF) composed of six variables was associated with optimal area under the curve and sensitivity for the diagnosis of AM. This method includes four positive (irregular blotches, ridge pattern, asymmetry of structures and asymmetry of colours) and two negative predictors (furrow pattern and fibrillar pattern). The BRAAFF checklist significantly improves the diagnostic accuracy of dermoscopy for the diagnosis of AM.