09.10.2013 Views

Dermatologic Differential Diagnosis.pdf. - Famona Site

Dermatologic Differential Diagnosis.pdf. - Famona Site

Dermatologic Differential Diagnosis.pdf. - Famona Site

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

PRIMARY CUTANEOUS DISEASE<br />

Acanthosis nigricans<br />

Atopic dermatitis<br />

Childhood granulomatous perioral dermatitis J Eur Acad DV<br />

19:470–473, 2005; Cutis 73:399–402, 2004; AD<br />

138:1354–1358, 2002; Ped Derm 13:131–134, 1996; AD<br />

128:1703–1708, 1989<br />

Epidermolysis bullosa, junctional – letalis (atrophicans<br />

generalisata gravis, Herlitz type) – extensive blistering<br />

and erosions at birth; perioral and nasal exuberant<br />

granulation tissue and erosions Rook p.1828–1829, 1998,<br />

Sixth Edition; Epidermolysis Bullosa: Basic and Clinical<br />

Aspects. New York: Springer, 1992:118–134; JAAD 12:836–844,<br />

1985; also junctional EB mitis; cicatricial junctional<br />

epidermolysis bullosa<br />

Erythrose peribuccale pigmentaire of Brocq – diffuse brown<br />

pigmentation around mouth with narrow perioral sparing; central<br />

face, forehead, angles of jaw, temples Rook p.1791, 1998,<br />

Sixth Edition<br />

Facial Afro-Caribbean childhood eruption (FACE) – resembles<br />

perioral dermatitis Clin Exp Dermatol 15:163–166, 1990;<br />

BJD 91:435–438, 1976<br />

Fine scaling, keratosis pilaris, periorificial crusting,<br />

palmoplantar hyperkeratosis, blistering<br />

JAAD 34:379–385, 1996<br />

Granulomatous periorificial dermatitis – extrafacial and<br />

generalized periorificial dermatitis AD 138:1354–1358, 2002<br />

Intertrigo<br />

Lichen sclerosus et atrophicus<br />

Lichen simplex chronicus<br />

Lip licker’s dermatitis Can Fam Physician 48:1051, 1059, 2002;<br />

Rook p.698, 1998, Sixth Edition<br />

Perioral dermatitis Int J Derm 42:514–517, 2003<br />

Periorbital dermatitis (periorbital variant of perioral dermatitis) –<br />

idiopathic or topical corticosterioid-associated Rook<br />

p.2110–2111,3551, 1998, Sixth Edition<br />

Psoriasis Cutis 43:157–158, 1989<br />

Seborrheic dermatitis<br />

Vitiligo<br />

SYNDROMES<br />

Cystic fibrosis – autosomal recessive; dermatitis due to dietary<br />

deficiencies associated with the patient’s pancreatic dysfunction<br />

acrodermatitis enteropathica-like changes Textbook of Neonatal<br />

Dermatology, p.267, 2001; AD 128:1358–1364, 1992; JAAD<br />

25:896–897, 1991; AD 119:l51–155, 1983; at initial presentation<br />

of cystic fibrosis AD 128:1358, 1992<br />

Goltz’s syndrome – perioral papules Clin Exp Dermatol<br />

30:35–37, 2005; Cutis 53:309–312, 1994<br />

Hereditary mucoepithelial dysplasia (dyskeratosis)<br />

(Gap junction disease, Witkop disease) – red eyes, non-scarring<br />

alopecia, keratosis pilaris, erythema of oral(palate, gingiva) and<br />

nasal mucous membranes, cervix, vagina, and urethra; perineal<br />

and perigenital psoriasiform dermatitis; increased risk of<br />

infections, fibrocystic lung disease BJD 153:310–318, 2005;<br />

Ped Derm 11:133–138, 1994; JAAD 21:351–357, 1989;<br />

Am J Hum Genet 31:414–427, 1979; Oral Surg Oral Med<br />

Oral Pathol 46:645–657, 1978<br />

Hereditary perioral pigmented follicular atrophoderma<br />

associated with milia and epidermoid cysts BJD 139:713–718,<br />

1998<br />

KID syndrome – keratosis, ichthyosis, deafness syndrome –<br />

fixed orange, symmetrical hyperkeratotic plaques of scalp,<br />

ears, and face with perioral rugae; aged or leonine facies;<br />

erythrokeratoderma-like; later hyperkeratotic nodules develop<br />

Ped Derm 17:115–117, 2000; Ped Derm 13:105–113, 1996<br />

Mal de Meleda – autosomal dominant, autosomal recessive;<br />

transgrediens with acral erythema in glove-like distribution;<br />

perioral erythema and hyperkeratosis Dermatology 203:7–13,<br />

2001; AD 136:1247–1252, 2000; J Dermatol 27:664–668, 2000;<br />

<strong>Dermatologic</strong>a 171:30–37, 1985<br />

Netherton’s syndrome Bull Soc Fr Dermatol Syphiligr<br />

78:641–644, 1971<br />

Olmsted syndrome – periorificial keratotic plaques;<br />

congenital diffuse sharply marginated transgradient<br />

keratoderma of palms and soles, onychodystrophy, constriction<br />

of digits, diffuse alopecia, thin nails, chronic paronychia,<br />

leukokeratosis of oral mucosa, linear keratotic streaks, follicular<br />

keratosis, constriction of digits (ainhum), anhidrosis, small<br />

stature; differential diagnostic considerations include Clouston<br />

hidrotic ectodermal dysplasia, pachyonychia congenita,<br />

acrodermatitis enteropathica, Vohwinkel’s keratoderma,<br />

mal de Meleda, and other palmoplantar keratodermas JAAD<br />

53:S266–272, 2005; Ped Derm 21:603–605, 2004; Ped Derm<br />

20:323–326, 2003; BJD 136:935–938, 1997; AD 132:797–800,<br />

1996; JAAD 10:600–610, 1984; Am J Dis Child 33:757–764,<br />

1927<br />

Shwachman syndrome – autosomal recessive; exocrine<br />

pancreatic insufficiency and bone marrow hypoplasia with<br />

neutropenia; cutaneous signs include generalized erythematous<br />

scaling eruptions, recurrent skin infections, generalized xerosis,<br />

red hands, and follicular keratoses of the trunk Ped Derm<br />

9:57–61, 1992<br />

Wiskott–Aldrich syndrome<br />

TRAUMA<br />

Lip licking dermatitis<br />

Perleche<br />

VASCULAR LESIONS<br />

Angiokeratoma corporis diffusum (Fabry’s disease<br />

(α-galactosidase A) – X-linked recessive; initially, telangiectatic<br />

macules; perioral telangiectasias Rook p.2638, 1998, Sixth<br />

Edition; NEJM 276:1163–1167, 1967<br />

DERMATOGRAPHISM<br />

JAAD 11:643, 1984<br />

Allergic contact dermatitis to poison ivy<br />

Allergic reactions to:<br />

Aspirin<br />

Sulfonamides<br />

Codeine<br />

Horse serum<br />

At site of previous allergic reaction<br />

Barbiturate and glutethimide poisoning<br />

Diabetes mellitus<br />

Drug ingestion without drug eruption (penicillin)<br />

Eosinophilic synovitis Arthr Rheum 29:1147–1151, 1986<br />

Exercise

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!