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

Bromocriptine – erythromelalgia Cutis 75:37–40, 2005<br />

Felodipine – erythromelalgia Cutis 75:37–40, 2005<br />

GCSF – recombinant human GCSF; livedo reticularis, edema,<br />

with thrombotic and necrotizing panniculitis BJD 142:834–836,<br />

2000<br />

Imatinib (signal transduction inhibitor) – edema of face,<br />

forearms, ankles JAAD 48:201–206, 2003<br />

Interferon-α-induced anasarca JAAD 37:118–120, 1997<br />

Methysergide – retroperitoneal fibrosis Ghatan p.252, 2002,<br />

Second Edition<br />

Nicardipine – erythromelalgia Cutis 75:37–40, 2005<br />

Nifedipine – erythromelalgia Cutis 75:37–40, 2005<br />

Pergolide – erythromelalgia Cutis 75:37–40, 2005<br />

Toxic epidermal necrolysis – localized to lymphedematous<br />

extremity Clin Exp Dermatol 17:456–457, 1991<br />

EXOGENOUS AGENTS<br />

Aquagenic angioedema Cutis 37:465–466, 1986<br />

Hair penetration of toe cleft skin – edema of the dorsum of the<br />

foot; pinhole sinus in interdigital space Rook p.924, 1998,<br />

Sixth Edition<br />

Salivary vulvitis Obstet Gynecol 37:238–240, 1971<br />

Seminal vulvitis – vulvar edema, erythema, pruritus Am J<br />

Obstet Gynecol 126:442–444, 1976<br />

Silicone – linear edema, nodularity, scarring, and bound-down<br />

skin due to leakage of silicone breast implant AD 131:54–56,<br />

1995<br />

Vaccination – extensive limb swelling Clin Inf Dis 37:351–358,<br />

2003<br />

INFECTIONS AND INFESTATIONS<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 />

Arthropod bite – hypersensitivity to mosquito bites with intense<br />

erythema and edema AD 139:1601–1607<br />

Bee and wasp stings NEJM 133:523–527, 1994<br />

Brucellosis Cutis 63:25–27, 1999; AD 117:40–42, 1981;<br />

Brucella epididymoorchitis – scrotal swelling, pain, fever,<br />

diaphoresis Clin Inf Dis 33:2017–2027, 2001<br />

Calymmatobacterium granulomatis (donovanosis) J Clin Inf<br />

Dis 25:24–32, 1997<br />

Cat scratch disease Ghatan p.252, 2002, Second Edition<br />

Caterpillar dermatitis – Megalopyge caterpillars – burning pain,<br />

spreading erythema, edema, lymphangitis JAMA<br />

175:1155–1158, 1961<br />

Cellulitis – acute or recurrent with subtle edema of toes and<br />

forefoot Rook p.2294, 1998, Sixth Edition<br />

Centipede bites – erythema and edema Cutis 37:241, 1986;<br />

centipede contact dermatitis<br />

Dirofilaria Cutis 72:269–272, 2003<br />

Dracunculosis – Dracunculus medinensis – initially fever,<br />

pruritus, urticaria, painful edema Int J Zoonoses 12:147–149,<br />

1985<br />

Eikenella corrodens – cellulitis Clin Infect Dis 33:54–61, 2001<br />

Erysipelas – primary or recurrent; post-infectious lymphedema<br />

Rook p.1115, 1998, Sixth Edition; including scalp edema; penile<br />

erysipelas – edematous penis and/or scrotum with or without<br />

necrosis; may result in chronic lymphedema Genital Skin<br />

Disorders, Fischer and Margesson, Mosby, 1998, p.20–23;<br />

Rook p.2290, 1998, Sixth Edition;<br />

Entophthomucormycosis including basidiobolomycosis and<br />

conidiobolomycosis<br />

Filariasis – secondary lymphedema; Wuchereria bancrofti,<br />

Brugia malayi, Brugia timori; mosquito vector – first sign is<br />

edema, pain, and erythema of arms, legs, or scrotum or vulva;<br />

chronically lower leg edema, or edema of breast, arms, genitalia<br />

with elephantiasis develop Dermatol Clin 7:313–321, 1989;<br />

Lymphology 18:148–168, 1985<br />

Fish stings – venomous fish; lesser weever fish, spiny dogfish,<br />

stingray, scorpion fish, catfish, rabbit fish, stone fish, stargazers,<br />

toadfish – erythema, edema mimicking cellulitis Rook p.1479,<br />

1998, Sixth Edition<br />

Gnathostomiasis – migratory subcutaneous swellings; painful<br />

and red; upper body and periorbitally Clin Inf Dis 16:33–50, 1993<br />

Granuloma inguinale (donovanosis) – vulvar lymphedema<br />

Genitourin Med 63:54–56, 1987<br />

Herpes simplex<br />

Herpes zoster<br />

Human herpesvirus 8 – relapsing inflammatory syndrome; fever,<br />

lymphadenopathy, splenomegaly, edema, arthrosynovitis,<br />

exanthema of hands, wrists, and elbows NEJM 353:156–163,<br />

2005<br />

Lassa fever (Old World Arenavirus) – edema due to capillary<br />

leak syndrome<br />

Leprosy<br />

Loiasis – Calabar swellings; temporary of arm and hand, and<br />

elsewhere; angioedema Rook p.1387–1388, 1998, Sixth Edition<br />

Lymphangitis, infectious (post-cellulitis, erysipelas) Rook<br />

p.2283, 1998, Sixth Edition<br />

Lymphogranuloma venereum – genital lymphedema leading to<br />

vulvar elephantiasis or ‘saxaphone penis’; inguinal adenitis with<br />

abscess formation and draining chronic sinus tracts; rectal<br />

syndrome in women with pelvic adenopathy, periproctitis with<br />

rectal stricture and fistulae; esthiomene – scarring and fistulae<br />

of the buttocks and thighs with elephantiasic lymphedema of the<br />

vulva; lymphatics may develop abscesses which drain and form<br />

ulcers Int J Dermatol 15:26–33, 1976<br />

Malignant otitis externa – edema of soft tissues around ear Am<br />

J Med 71:603–614, 1981<br />

Mycobacterium tuberculosis – lupus vulgaris; starts as<br />

red–brown plaque, enlarges with serpiginous margin or as<br />

discoid plaques; apple-jelly nodules; myxomatous form with<br />

large tumors of the earlobes; lymphedema prominent; head,<br />

neck, around nose, extremities, trunk Int J Dermatol<br />

26:578–581, 1987; Acta Tuberc Scand 39 (Suppl 49):1–137,<br />

1960; inguinal lymphadenopathy with genitocrural lymphedema<br />

Rook p.3167, 1998, Sixth Edition<br />

Necrotizing fasciitis AD 138:893–898, 2002; JAAD 20:774–781,<br />

1989; appearance in lymphedematous extremity Int J Derm<br />

29:41–44, 1990<br />

Onchocerciasis – localized edema – swelling of one arm West<br />

Afr Med J 11:83–84, 1962; Mazzotti reaction – swelling during<br />

therapy Rook p.1384, 1998, Sixth Edition<br />

Osteomyelitis of the skull – Pott’s puffy tumor – scalp edema AD<br />

121:548–549, 1985<br />

Parvovirus B19, congenital – pallor, maceration, and<br />

subcutaneous edema Textbook of Neonatal Dermatology,<br />

p.214, 2001<br />

Pediculosis – head lice with elephantiasis of the ear Acta DV<br />

(Stockh) 63:363–365, 1983

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