ABSTRACT
POEMS syndrome is an uncommon multisystem disorder characterized by the combination of polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes. A 57-year-old man diagnosed with POEMS syndrome after presenting with diabetic ketoacidosis and characteristic skin lesions is reported. The dermatologic and systemic manifestations of this unusual syndrome are reviewed.
Subject(s)
Diabetic Ketoacidosis/complications , POEMS Syndrome/diagnosis , POEMS Syndrome/etiology , Skin Diseases/etiology , Biopsy, Needle , Humans , Male , Middle Aged , Prognosis , Skin Diseases/pathology , Skin Diseases/therapySubject(s)
Hand Dermatoses/diagnosis , Nevus, Pigmented/diagnosis , Skin Neoplasms/diagnosis , Child , Diagnosis, Differential , Humans , MaleSubject(s)
Exostoses/diagnosis , Nail Diseases/diagnosis , Diagnosis, Differential , Exostoses/surgery , Female , Humans , Middle Aged , Nail Diseases/surgeryABSTRACT
A patient with coexistent Reiter's syndrome (RS) and tophaceous gout is described. The association of these two rheumatic diseases has not been previously reported. The reason for the rare association between gout and RS is unclear but possible explanations are reviewed. The diagnosis of gout should be considered in patients with RS who experience acute monoarticular or particular arthritis and characteristic cutaneous nodules.
Subject(s)
Arthritis, Reactive/complications , Gout/complications , Gout/diagnosis , Adult , Diagnosis, Differential , Humans , MaleABSTRACT
Dermatitis resulting from medical devices is common. The dermatologic hazards of transcutaneous electrical nerve stimulation, cardiac pacemakers, and electrocardiography electrodes are well described. We report a 70-year-old man who experienced contact dermatitis from direct current cardioversion. To our knowledge, this is the first report of cardioversion-associated dermatitis.
