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Correspondence |

Terminology in Dermatology: Logical or Arbitrary?

Eckart Haneke, MD
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Copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Dermatol. 2000;136(8):1061-1061. doi:
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In a recent article in the ARCHIVES about language and logic, Melski1 cites the following lines by Lewis Carroll as an introduction: "When I use a word . . . it means just what I choose it to mean—neither more nor less." Though this should not be the case in scientific language, it seems to happen even to Melski, who certainly means "tick sting" when he writes "tick bite." Ticks have no jaws or pincers with which to bite; rather, they have highly specialized tools to sting and suck blood. Medicine (dermatology in particular) abounds with evidently wrong or even nonsense terms that have evolved throughout the history of science. However, when a new method is developed in our century of science, it should be termed correctly.

Luminescence is a physical phenomenon defined by emission of light when a substance or compound takes up any kind of energy. When a chemical reaction leads to emission of light it is called chemiluminescence; this is responsible for the light emitted by glowworms. This type of reaction is also used for highly sensitive biochemical tests. When a substance takes up energy and emits light for a longer time than the time it took to absorb the light, it exhibits phosphorescence. When a substance emits light immediately upon uptake of energy (in most cases by irradiation with a shorter-wavelength light) it exhibits fluorescence. However, when incident light is used for visualization of a surface or of subsurface structures, this is neither luminescence nor epiluminescence2 but epi-illumination. Incident UV light is used for high-quality fluorescence microscopy, but the type of visible light used for dermoscopy does not elicit any visible luminescence (a collective term for fluorescence and phosphorescence). Even though some dermatologists may think it makes no difference,3 I strongly believe in the advantage of using a correct term if it is available. This dermatologic procedure should therefore be called what it is: surface microscopy,4 incident light microscopy,5 epi-illumination microscopy, or derm(at)oscopy.6

REFERENCES

Melski  JW. Language, logic, and Lyme disease. Arch Dermatol. 1999;1351398- 1400
Ohnishi  T, Nagayama  T, Morita  T.  et al.  Angioma serpiginosum: a report of 2 cases identified using epiluminescence microscopy. Arch Dermatol. 1999;1351366- 1368
Menzies  SW, Crotty  KA, McCarthy  WH. The morphologic criteria of the pseudopod in surface microscopy. Arch Dermatol. 1995;131436- 440
Cunliffe  WJ, Forster  KA, Williams  M. A surface microscope for clinical and laboratory use. Br J Dermatol. 1974;90619- 622
Fritsch  P, Pechlaner  R,  Differentiation of benign from malignant melanocytic lesions using incident light microscopy. Ackerman  AB.edPathology of Malignant Melanoma New York, NY Masson Publishing1981;301- 312
Braun-Falco  O, Stolz  W, Bilek  P, Merkle  T, Landthaler  M. Das Dermatoskop: eine Vereinfachung der Auflichtmikroskopie von pigmentierten Hautveränderungen. Hautarzt. 1990;41131- 136

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Melski  JW. Language, logic, and Lyme disease. Arch Dermatol. 1999;1351398- 1400
Ohnishi  T, Nagayama  T, Morita  T.  et al.  Angioma serpiginosum: a report of 2 cases identified using epiluminescence microscopy. Arch Dermatol. 1999;1351366- 1368
Menzies  SW, Crotty  KA, McCarthy  WH. The morphologic criteria of the pseudopod in surface microscopy. Arch Dermatol. 1995;131436- 440
Cunliffe  WJ, Forster  KA, Williams  M. A surface microscope for clinical and laboratory use. Br J Dermatol. 1974;90619- 622
Fritsch  P, Pechlaner  R,  Differentiation of benign from malignant melanocytic lesions using incident light microscopy. Ackerman  AB.edPathology of Malignant Melanoma New York, NY Masson Publishing1981;301- 312
Braun-Falco  O, Stolz  W, Bilek  P, Merkle  T, Landthaler  M. Das Dermatoskop: eine Vereinfachung der Auflichtmikroskopie von pigmentierten Hautveränderungen. Hautarzt. 1990;41131- 136

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