Subject(s)
Acrodermatitis/diagnosis , Zinc/deficiency , Acrodermatitis/diagnostic imaging , Adult , Depression/psychology , Female , Hepatitis C/psychology , Humans , Pancreatitis, Chronic/complications , Pancreatitis, Chronic/psychology , Substance-Related Disorders/complications , Substance-Related Disorders/psychologySubject(s)
Acrodermatitis/etiology , Arteriovenous Shunt, Surgical/adverse effects , Nails, Malformed/etiology , Renal Dialysis/adverse effects , Venous Insufficiency/etiology , Acrodermatitis/diagnostic imaging , Acrodermatitis/pathology , Acrodermatitis/surgery , Aged , Follow-Up Studies , Humans , Kidney Failure, Chronic/diagnosis , Kidney Failure, Chronic/therapy , Ligation/methods , Magnetic Resonance Angiography/methods , Male , Risk Assessment , Treatment Outcome , Venous Insufficiency/pathology , Venous Insufficiency/surgerySubject(s)
Acrodermatitis/therapy , Intermittent Pneumatic Compression Devices , Lymphedema/therapy , Vasculitis/therapy , Acrodermatitis/diagnostic imaging , Acrodermatitis/pathology , Aged , Biopsy, Needle , Female , Follow-Up Studies , Humans , Immunohistochemistry , Lower Extremity , Lymphedema/diagnostic imaging , Lymphedema/pathology , Severity of Illness Index , Treatment Outcome , Ultrasonography, Doppler , Vasculitis/diagnostic imaging , Vasculitis/pathologyABSTRACT
Acrodermatitis continua of Hallopeau (ACH) is a rare chronic pustular eruption that predominantly involves the fingertips. The characterization of this disease has been confused. Some have considered it as a separate entity while others as a variant of pustular psoriasis. The presented patient simultaneously had ACH and joint lesions which were diagnosed as psoriatic arthritis. We believe that because ACH may be accompanied by psoriatic arthritis, as in this case, it could be evidence that it is a variant of psoriasis.
Subject(s)
Acrodermatitis/diagnosis , Arthritis, Psoriatic/diagnosis , Acrodermatitis/complications , Acrodermatitis/diagnostic imaging , Acrodermatitis/drug therapy , Acrodermatitis/pathology , Administration, Cutaneous , Administration, Oral , Adult , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Arthritis, Psoriatic/complications , Arthritis, Psoriatic/diagnostic imaging , Arthritis, Psoriatic/drug therapy , Arthritis, Psoriatic/pathology , Calcitriol/administration & dosage , Calcitriol/analogs & derivatives , Celecoxib , Dermatologic Agents/administration & dosage , Diagnosis, Differential , Humans , Male , Pyrazoles/administration & dosage , Radiography , Sulfasalazine/administration & dosage , Sulfonamides/administration & dosageSubject(s)
Arthritis, Psoriatic/diagnosis , Nail Diseases/diagnosis , Periostitis/diagnosis , Acrodermatitis/diagnosis , Acrodermatitis/diagnostic imaging , Acrodermatitis/etiology , Adult , Arthritis, Psoriatic/complications , Arthritis, Psoriatic/diagnostic imaging , Fingers , Humans , Male , Nail Diseases/diagnostic imaging , Nail Diseases/etiology , Periostitis/complications , Periostitis/diagnostic imaging , RadiographyABSTRACT
The most common cause of acral cyanosis is vascular spasm which can be induced by several drugs. An 87-year-old woman developed red and livid skin lesions on the fingers of both hands and several toes one month after beginning treatment with quinine sulfate 200 mg daily. The skin lesions progressed to necrosis in some areas. Quinine sulfate is a widely prescribed drug for nocturnal cramps. The following side effects may develop, particularly in the elderly: exanthems, pruritus, urticaria, erythema multiforme, purpura and photosensitivity. Our case points to the possibility of acral necrosis and demonstrates the efficacy of vasodilator treatment.
Subject(s)
Acrodermatitis/diagnostic imaging , Drug Eruptions/diagnostic imaging , Muscle Cramp/drug therapy , Muscle Relaxants, Central/adverse effects , Quinine/adverse effects , Aged , Aged, 80 and over , Angiography , Female , Fingers/blood supply , Humans , Ischemia/chemically induced , Ischemia/diagnostic imaging , Muscle Relaxants, Central/administration & dosage , Necrosis , Quinine/administration & dosageABSTRACT
We report on the radiological abnormalities of bones and joints in Dutch patients suffering from Lyme borreliosis presenting with acrodermatitis chronica atrophicans (A.C.A.). In a highly endemic area of the Netherlands rheumatic complaints were mentioned by 26 out of 60 patients suffering from a late stage of Lyme disease. Radiological findings in our group of patients were subluxation of the toe joint and periostitis of the bones of the lower limb.
Subject(s)
Acrodermatitis/etiology , Joint Diseases/etiology , Lyme Disease/complications , Periostitis/etiology , Acrodermatitis/diagnostic imaging , Adult , Aged , Aged, 80 and over , Anti-Bacterial Agents/administration & dosage , Arthrography , Borrelia burgdorferi Group/pathogenicity , Female , Humans , Joint Diseases/diagnostic imaging , Lyme Disease/diagnosis , Lyme Disease/therapy , Male , Middle Aged , Periostitis/diagnostic imaging , Retrospective Studies , Toe Joint/diagnostic imagingABSTRACT
The clinical picture of ulcerated purple plaques on the legs often suggests several diagnoses: Kaposi's sarcoma, stasis dermatitis, atrophie blanche (livedoid vasculitis), and a poorly understood condition called acroangiodermatitis of Favre-Chaix (pseudo-Kaposi's sarcoma). Even the skin biopsy may not always be conclusive. We describe our experience with three patients with pseudo-Kaposi's sarcoma, one with "true" Kaposi's sarcoma and two with atrophie blanche. Clinical and histopathologic similarities among these three conditions pointed up the need for additional confirmatory studies, i.e., isotope scanning. The technetium scan was positive in both Kaposi's sarcoma and pseudo-Kaposi's sarcoma but negative in atrophie blanche.
