Dermatologic Differential Diagnosis.pdf. - Famona Site

226 A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
PARANEOPLASTIC DISORDERS
Paraneoplastic acral vascular syndrome – acral cyanosis and
gangrene JAAD 47:47–52, 2002; AD 138:1296–1298, 2002;
Br Med J iii:208–212, 1967
SYNDROMES
Antiphospholipid antibody syndrome – petechiae, purpura,
ecchymoses, splinter hemorrhages Semin Arthritis Rheum
31:127–132, 2001; JAAD 36:149–168, 1997; JAAD 36:970–982,
1997; BJD 120:419–429, 1989
Behçet’s disease with vasculitis JAAD 21:576–579, 1989
Carpal tunnel syndrome JAAD 29:287–290, 1993
Compartment syndrome – crush injury of thorax AD
138:1296–1298, 2002
Hypereosinophilic syndrome – arterial occlusion BJD
144:1087–1090, 2001; BJD 143:641–644, 2000
Pseudoxanthoma elasticum – acral finger/toe-tip arteritis
BJD 152:166–169, 2005
Thoracic outlet obstruction AD 138:1296–1298, 2002
TOXINS
Alcoholic motor and sensory neuropathy
TRAUMA
Blunt trauma – repetitive blunt trauma AD 138:1296–1298, 2002
Carpal tunnel syndrome AD 120:517–519, 1984
Chilblains – with necrosis on fingers, toes, nose, and ears in
patients with monocytic leukemia AD 121:1048,1052, 1985
Crush injury AD 138:1296–1298, 2002
Crutch pressure arteritis
Electric shock AD 138:1296–1298, 2002
Frostbite
Hypothenar hammer syndrome JAAD 34:880–883, 1996
Radial or ulnar artery cannulation AD 138:1296–1298, 2002;
N Y State J Med 90:375–376, 1990
Vibration syndrome Arch Derm 121:1544–1547,1985
VASCULAR
Arterial fibromuscular dysplasia AD 138:1296–1298, 2002
Arteriosclerosis – peripheral vascular disease AD
138:1296–1298, 2002; Rook p.2231, 1998, Sixth Edition
Arteriovenous fistulae – vascular steal syndrome in
hemodialysis patients with arteriovenous fistulae AD
138:1296–1298, 2002; Rook p.2731, 1998, Sixth Edition
Atrial fibrillation with emboli
Cardiogenic shock
Churg–Strauss disease BJD 150:598–600, 2004
DIC, purpura fulminans, symmetric peripheral gangrene
Emboli – septic, cholesterol, fat, tumor, paradoxical, mural
thrombus, atrial myxoma Caputo p.197, 2000
Erythromelalgia – associated with thrombocythemia – may affect
one finger or toe; ischemic necrosis JAAD 22:107–111, 1990
Peripheral digital ischemia – thrombotic microangiopathy
(thrombotic thrombocytopenic purpura, hemolytic uremic
syndrome) J Invest Med 50:201–206, 2002
Polyarteritis nodosa (systemic or cutaneous PAN) – digital
infarction JAAD 48:311–340, 2003; Ann Rheum Dis
54:134–136, 1995; Cutis 46:53–55, 1990
Radial artery removal for coronary bypass grafting
AD 138:1296–1298, 2002
Raynaud’s phenomenon/disease J Rheumatol 19:1286–1288,
1992
Thoracic outlet syndrome
Thromboangiitis obliterans (Buerger’s disease) Rook p.2233,
1998, Sixth Edition; Am J Med Sci 136:567–580, 1908
Thromboembolic phenomena – cardiac source, arterial source,
aneurysm (subclavian or axillary arteries), infection,
hypercoagulable state AD 138:1296–1298, 2002
Thrombotic thrombocytopenic purpura
Ulnar artery occlusion
Vascular trap syndrome – acral finger/toe-tip necrosis BJD
152:166–169, 2005
Vasculitis – multiple types; acral finger/toe-tip necrosis BJD
152:166–169, 2005
Vasospasm from arterial puncture
Venous gangrene
Venous limb gangrene – during warfarin treatment of cancerassociated
deep venous thrombosis; necrosis of of toes and
foot; due to severe depletion of protein C and failure to reduce
thrombin generation Ann Intern Med 135:589–593, 2001
Wegener’s granulomatosis AD 130:861–867, 1994
FINGERTIP ULCERS
AUTOIMMUNE DISEASES, AND DISEASES
OF IMMUNE DYSFUNCTION
Hypersensitivity angiitis AD 138:1296–1298, 2002
Rheumatoid vasculitis JAAD 17:355–359, 1987; Clin Rheumatol
2:3210330, 1983
Scleroderma J Hand Surg 9:320–327, 1984
CONGENITAL LESIONS
Congenital insensitivity to pain Cutis 51:373–374, 1993
DEGENERATIVE DISEASES
Alcoholic neuropathy
Syringomyelia – fingertip ulcers with resorption of phalanges
Rook p.2777, 1998, Sixth Edition
DRUGS
Buprenorphine – intra-arterial injection AD 138:1296–1298, 2002
Diphenhydramine injected periungually JAAD 21:1318–1319,
1989
Ergotamine abuse
Oxymetazoline – intra-arterial injection AD 138:1296–1298, 2002
Vasculitis, drug-induced AD 138:1296–1298, 2002
INFECTIONS
Blistering distal dactylitis JAAD 14:310–311, 1987
Fusarium JAAD 47:659–666, 2002