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Dermatologic Differential Diagnosis.pdf. - Famona Site

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PHOTODERMATOSES<br />

Bronze baby syndrome – gray–brown pigmentation after<br />

phototherapy for hyperbilirubinemia in neonates; requires liver<br />

disease; confused with central cyanosis, carbon baby<br />

syndrome, gray baby syndrome Textbook of Neonatal<br />

Dermatology, p.110, 2001; JAAD 12:325–328, 1985; Ped<br />

Res 17:327–330, 1983; J Pediatr 88:461–464, 1976;<br />

JAMA 208:1703, 1969<br />

Phototherapy of neonatal jaundice – darkening of treated areas<br />

J Pediatr 82:1042–1043, 1973<br />

Phytophotodermatitis<br />

Tanning – immediate and prolonged tanning<br />

Rook p.1786–1787, 1998, Sixth Edition<br />

PRIMARY CUTANEOUS DISEASES<br />

Acanthosis nigricans, generalized Ped Derm 18:213–216, 2001<br />

Confluent and reticulated papillomatosis<br />

Disseminated dermal melanocytosis BJD 101:197–205, 1979<br />

Epidermolysis bullosa simplex with mottled pigmentation;<br />

may be generalized or of neck, upper trunk, arms and leg<br />

with or without keratoderma (punctate keratoses); cutaneous<br />

atrophy, nail dystrophy Clin Genet 15:228–238, 1979<br />

Human chimerae with pigment anomalies<br />

Idiopathic eruptive macular hyperpigmentation Ped Derm<br />

13:274–277, 1996; JAAD 11:159, 1984<br />

Melanism – autosomal dominant; diffuse hyperpigmentation,<br />

especially of face and flexures Bull Acadr Med Belg<br />

13:397–428, 1948<br />

SYNDROMES<br />

Acquired generalized lentiginosis Eur J Dermatol 8:183–185, 1998<br />

Berlin syndrome – mottled pigmentation and leukoderma<br />

Breast hypertrophy, erythema annulare centrifugum,<br />

generalized melanoderma, verrucae vulgaris and SLE Acta DV<br />

(Stockh) 52:33, 1972<br />

Costello syndrome – diffuse hyperpigmentation; warty papules<br />

around nose and mouth, legs, perianal skin; loose skin of neck,<br />

hands, and feet; acanthosis nigricans; low set protuberant ears,<br />

thick palmoplantar surfaces with single palmar crease, gingival<br />

hyperplasia, hypoplastic nails, moderately short stature,<br />

craniofacial abnormalities, hyperextensible fingers, sparse curly<br />

hair, perianal and vulvar papules, generalized hypertrichosis,<br />

multiple nevi Ped Derm 20:447–450, 2003; JAAD 32:904–907,<br />

1995; Aust Paediat J 13:114–118, 1977<br />

Cronkhite–Canada syndrome – diffuse hyperpigmentation with<br />

accentuationn of face, neck, extremities, palms and palmar<br />

aspects of fingers Ann DV 112:951–958, 1985<br />

Degos–Touraine syndrome – incontinentia pigmenti with<br />

poikiloderma in photodistribution, bullae of face, extremities;<br />

chronic erythroderma with subsequent hyperpigmentation Soc<br />

Gr Dermatol Syph 68:6–10, 1961<br />

Dermatopathia pigmentosa reticularis J Dermatol 24:266–269,<br />

1997<br />

Diffuse pigmentation of trunk and neck with subsequent white<br />

macules Proc R Soc Med 48:179–180, 1955<br />

Diffuse pigmentation with macular depigmentation of trunk with<br />

reticulate pigmentation of neck Hautarzt 6:458–460, 1955<br />

Dyschromatosis symmetrica hereditaria<br />

Dyschromatosis universalis hereditaria Ann DV 128:136–138,<br />

2001<br />

Dyskeratosis congenita – X-linked recessive; reticulate<br />

hyperpigmentation (poikiloderma) of neck, chest, thighs; nail<br />

HYPERPIGMENTATION, DIFFUSE 257<br />

dystrophy, oral, ocular, and anal leukoplakia J Med Genet<br />

25:843–846, 1988<br />

Elejalde syndrome (neuroectodermal lysosomal disease) –<br />

bronze skin, silver hair AD 135:182–186, 1999<br />

Epidermal melanocytosis – congenital generalized<br />

hyperpigmentation AD 86:412–418, 1962<br />

Epidermolysis bullosa herpetiformis with mottled pigmentation<br />

and palmoplantar keratoderma AD 122:900–908, 1986<br />

Familial pigmentation with nail dystrophy – congenital<br />

generalized hyperpigmentation AD 71:591–598, 1955<br />

Familial progressive hyperpigmentation (congenital generalized<br />

hyperpigmentation, hereditary universal melanosis) AD<br />

125:1442–1443, 1989; AD 103:581–588, 1971<br />

Fanconi’s syndrome (pancytopenia with congenital defects) –<br />

generalized olive-brown hyperpigmentation, especially of lower<br />

trunk, flexures, and neck with depigmented macules (rain droplike);<br />

hypoplastic anemia, slender build, short broad thumbs,<br />

tapered fingers, microcephaly, hypogonadism Semin Hematol<br />

4:233–240, 1967<br />

Felty’s syndrome<br />

Franceschetti–Jadassohn–Naegeli syndrome – generalized<br />

reticulated hyperpigmentation, accentuated in neck and axillae;<br />

palmoplantar keratoderma; hypohidrosis JAAD 10:1–16, 1984<br />

Hurler’s (MPS I), Hurler–Scheie, Scheie syndromes –<br />

generalized hyperpigmentation and thickening of skin Ped Derm<br />

21:154–159, 2004<br />

Incontinentia pigmenti<br />

Koraxitrachitic syndrome – self-healing collodion baby with<br />

residual dappled atrophy Am J Med Genet 86:454–458, 1999<br />

Lawrence–Seip syndrome (lipoatrophic diabetes) J Dermatol<br />

19:246–249, 1992; Acta DV 66:173–174, 1986<br />

Neurocutaneous melanosis<br />

Neurofibromatosis type I<br />

Noonan’s syndrome – diffuse hyperpigmentation following<br />

bilateral adrenalectomy Rook p.1763, 1998, Sixth Edition<br />

Pachyonychia congenita with cutaneous amyloidosis and<br />

rippled hyperpigmentation JAAD 16:935–940, 1987<br />

Pachyonychia congenita, Tidman–Wells–MacDonald type<br />

Parana hard skin syndrome (stiff skin syndrome) Ped Derm<br />

20:339–341, 2003; Ped Derm 19:67–72, 2002<br />

Phakomatosis pigmentovascularis<br />

POEMS syndrome (Takatsuki syndrome, Crowe–Fukase<br />

syndrome) – generalized hyperpigmentation, osteosclerotic<br />

bone lesions, peripheral polyneuropathy, hypothyroidism, and<br />

hypogonadism, cutaneous angiomas, blue dermal papules<br />

associated with Castleman’s disease (benign reactive<br />

angioendotheliomatosis), diffuse hyperpigmentation,<br />

morphea-like changes, maculopapular brown-violaceous<br />

lesions, purple nodules JAAD 44:324–329, 2001;<br />

JAAD 40:808–812, 1999; Cutis 61:329–334, 1998 ;<br />

JAAD 21:1061–1068, 1989; JAAD 12:961–964, 1985;<br />

AD 124:695–698, 1988<br />

Polyglandular autoimmune syndrome type II – Schmidt’s<br />

syndrome<br />

Proteus syndrome<br />

Symmetric acropigmentation of Dohi (Addison’s disease, thyroid<br />

disease with or without diabetes) Cutis 59:77–80, 1997<br />

Tuberous sclerosis – diffuse bronzing<br />

Universal dyschromatosis, small stature, and high tone<br />

deafness<br />

Werner’s syndrome (pangeria) – diffuse hyperpigmentation<br />

Medicine 45:177–221, 1966

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