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Dermatologic Differential Diagnosis.pdf. - Famona Site

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102 A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1<br />

Burns, electrical, thermal, ultraviolet<br />

Coma bullae – sweat gland necrosis Cutis 45:423, 1990<br />

Cryotherapy<br />

Erythema ab igne<br />

Frostbite<br />

Pressure bullae<br />

Sunburn<br />

VASCULAR<br />

Acquired digital arteriovenous malformation BJD<br />

142:362–365, 2000<br />

Churg–Strauss disease BJD 150:598–600, 2004; JAAD<br />

47:209–216, 2002; J Dermatol 22:46–51, 1995<br />

Disseminated intravascular coagulation (DIC)<br />

Henoch–Schönlein purpura AD 139:215–220, 2003; Ped Derm<br />

15:357–359, 1998; Ped Derm 12:314–317, 1995<br />

Ischemic gangrene<br />

Polyarteritis nodosa, systemic – cutaneous infarcts presenting<br />

as purpuric plaques Rook p.2212, 1998<br />

Purpura fulminans<br />

Pustular vasculitis of hands JAAD 32:192–198, 1995<br />

Vasculitis – large and/or small vessel – leukocytoclastic<br />

vasculitis Rook p.2178, 1998, Sixth Edition; urticarial vasculitis<br />

AD 134:231–236, 1998<br />

Venous gangrene (acral) – combination of severe pain,<br />

extensive edema, and cyanosis of the limb; in arterial gangrene<br />

edema is absent or minimal, cutaneous hemorrhage does not<br />

occur, skin is pale, subcutaneous veins are poorly filled and<br />

empty with leg elevation AD 123:933–936, 1987<br />

Wegener’s granulomatosis BJD 143:207–209, 2000;<br />

AD 113:175–182, 1977<br />

BULLAE, HEMORRHAGIC, SEPTIC<br />

Aeromonas hydrophilia NY State J Med 82:1461–1464, 1982<br />

Aeromonas sobria Pathol Int 49:541–546, 1999<br />

Anthrax – Bacillus anthracis; malignant pustule; face, neck,<br />

hands, arms; starts as papule then evolves into bulla on red<br />

base; then hemorrhagic crust with edema and erythema with<br />

small vesicles; edema of surrounding skin Am J Dermatopathol<br />

19:79–82, 1997; J Clin Inf Dis 19:1009–1014, 1994; Br J<br />

Opthalmol 76:753–754, 1992; J Trop Med Hyg 89:43–45, 1986;<br />

Bol Med Hosp Infant Mex 38:355–361, 1981<br />

Aspergillosis AD 141:633–638, 2005; AD 136:1165–1170,<br />

2000; JAAD 12:313–318, 1985; primary cutaneous aspergillosis<br />

in premature infants Ped Derm 19:439–444, 2002; primary<br />

cutaneous JAAD 38:797–798, 1998<br />

Bacillus cereus AD 127:543, 1991<br />

Brucellosis<br />

Capnocytophagia canimorsus<br />

Cellulitis of the extensor compartment<br />

Chagas’ disease<br />

Citrobacter JAAD 5:613, 1981<br />

Clostridium perfringens/septicum NEJM 323:1406, 1990;<br />

Ann Emerg Med 10:312–314, 1981<br />

Cowpox – papule progresses to vesicle to hemorrhagic vesicle<br />

to umbilicated pustule, then eschar with ulcer JAAD 44:1–14,<br />

2001; BJD 1331:598–607, 1994<br />

Cytomegalovirus JAAD 11:743–747, 1984<br />

Dermatophyte infection<br />

Disseminated intravascular coagulation (DIC) – gram-negative<br />

septicemias Br Med J 312:683–687, 1996; BJD 88:221–229,<br />

1973; variety of infections<br />

Ecthyma gangrenosum<br />

Pseudomonas<br />

Enteric rods<br />

Aeromonas hydrophila<br />

Xanthomonas maltophila<br />

Aspergillus species<br />

Candida albicans<br />

Capnocytophaga canimorsus<br />

Enterobacter cloacae JAAD 27:637–638, 1992; Rev Infect Dis<br />

44:13–28, 1982<br />

Erysipelas<br />

Escherichia coli AD 110:105–106, 1974<br />

Flavobacterium odoratum – necrotizing fasciitis J Clin Inf Dis<br />

21:1337–1338, 1995<br />

Fusarium, localized – plantar hemorrhagic bulla JAAD<br />

47:659–666, 2002<br />

Gonococcemia – periarticular lesions appear in crops with red<br />

macules, papules, vesicles with red halo, pustules, bullae<br />

becoming hemorrhagic and necrotic; suppurative arthritis and<br />

tenosynovitis Ann Intern Med 102:229–243, 1985; NEJM<br />

282:793–794, 1976<br />

Herpes simplex infection<br />

Herpes zoster<br />

Klebsiella<br />

Lyme disease<br />

Meningococcemia JAMA 134:513–518, 1947<br />

Morganelli morganii JAAD 12:575–576, 1985<br />

Mucormycosis – Rhizopus oryzi<br />

Necrotizing fasciitis AD 138:893–898, 2002<br />

Nocardia asteroides AD 121;898, 1985<br />

Orf AD 126:356, 1990<br />

Proteus mirabilis<br />

Pseudomonas – ecthyma gangrenosum JAAD 11:781–787,<br />

1984; Arch Int Med 128:591–595, 1971; Am J Med 25:877–889,<br />

1958; neonatal infection Textbook of Neonatal Dermatology,<br />

p.139,147, 2001<br />

Rhizopus azygosporus BJD 153:428–430, 2005<br />

Rocky Mountain spotted fever<br />

Salmonella enteritidis NYS Jnl Med 81:1639–1641, 1981<br />

Scedosporium – bullous necrotic purpura Ann DV<br />

125:711–714, 1998<br />

Staphylococcus aureus sepsis<br />

Streptococcus pneumoniae sepsis AD 132:81–86, 1996<br />

Streptococcus pyogenes, group A<br />

Toxic shock syndrome JAAD 10:267–272, 1984<br />

Trichosporon beigelli Mayo Clin Prog 58:684, 1983<br />

Tropical ulcer (phagedenic ulcer) – mixed infection with<br />

Fusobacterium ulcerans and other organisms; papule or<br />

bulla (hemorrhagic) which breaks down to form ulcer with<br />

undermined border Int J Dermatol 27:49–53, 1988<br />

Typhoid fever<br />

Varicella<br />

Non-01 Vibrio cholerae JAAD 29:909–912, 1993<br />

Vibrio vulnificus Clin Inf Dis 40:718,754–755, 2005;<br />

BJD 142:386–387, 2000; Int J Dermatol 28:313–316, 1989;<br />

AD 122:818–820, 1986; JAAD 12:575–576, 1983<br />

Yersinia enterocolitica Am J Med Sci 287:38, 1984

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