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Dermatologic Differential Diagnosis.pdf. - Famona Site

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spot lentigo (reticulated black solar lentigo) AD 128:934–940,<br />

1992<br />

Nevus spilus<br />

Penile lentigo JAAD 22:453–460, 1990<br />

Vulvar lentigo Dermatol Clin 10:361–370, 1992;<br />

JAAD 22:453–460, 1990<br />

Zosteriform lentiginous nevus Textbook of Neonatal<br />

Dermatology, p.383, 2001<br />

PHOTODERMATOSES<br />

PUVA-induced Clin Exp Dermatol 25:135–137, 2000;<br />

Cutis 41:199–202, 1988; JID 81:459–463, 1983<br />

Solar lentigines JAAD 36:444–447, 1997<br />

Tanning bed lentigines JAAD 23:1029–1031, 1990;<br />

JAAD 21:689–693, 1989<br />

PRIMARY CUTANEOUS DISEASES<br />

Epidermolysis bullosa – generalized atrophic benign EB<br />

(GABEB) (mitis) – non-lethal junctional – generalized blistering<br />

beginning in infancy; nevi or acquired macular pigmented<br />

lesions with irregular borders AD 122:704–710, 1986<br />

Generalized lentiginosis Ped Derm 21:139–145, 2004; Rook<br />

p.1768, 1998, Sixth Edition<br />

Lentiginosis<br />

Lentiginosis perigenitoaxillaris Bolognia p.1763, 2003<br />

Oral and pedal lentiginosis<br />

Psoriasis – lentigines confined to resolving psoriatic plaque<br />

Clin Exp Dermatol 19:380–382, 1994<br />

Segmental lentiginosis (partial unilateral lentiginosis)<br />

(unilateral lentiginosis) JAAD 44:387–390, 2001; Clin Exp<br />

Dermatol 20:141–142, 1995; JAAD 29:693–695, 1993<br />

SYNDROMES<br />

Acquired sporadic generalized lentiginosis Eur J Dermatol<br />

8:183–185, 1998<br />

ANOTHER syndrome – alopecia, nail dystrophy, ophthalmic<br />

complications, thyroid dysfunction, hypohidrosis, ephelides and<br />

enteropathy, respiratory tract infections Clin Genet 35:237–242,<br />

1989; J Pediatr 108:109–111, 1986<br />

Bandler syndrome – autosomal dominant, Peutz–Jegher-like<br />

lentigines; gastrointestinal bleeding with hemangiomas of small<br />

intestine Bolognia p.982, 2003<br />

Bannayan–Riley–Ruvalcaba syndrome (macrocephaly<br />

and subcutaneous hamartomas) (lipomas and hemangiomas) –<br />

autosomal dominant pigmented macules of penis JAAD<br />

53:639–643, 2005; AD 132:1214–1218, 1996; AD<br />

128:1378–1386, 1992; Eur J Ped 148:122–125, 1988;<br />

lipoangiomas (perigenital pigmented macules, macrocephaly)<br />

AD 128:1378–1386,<br />

1992; lipomas in Ruvalcaba–Myhre–Smith syndrome Ped<br />

Derm 5:28–32, 1988; Ruvalcaba–Myhre–Smith syndrome –<br />

pigmented penile macules, lipomas, angiolipomas,<br />

macrocephaly, pseudopapilledema, hamartomas, lipid-storage<br />

myopathy AD 132:1214–1218, 1996; Curr Prob Derm<br />

VII:143–198, 1995; Pediatrics, 81:287–290, 1988<br />

Cantu syndrome – autosomal dominant, lentigines on palms<br />

and soles, and sun-exposed skin, palmoplantar hyperkeratotic<br />

papules Curr Prob Derm VII:143–198, 1995<br />

LENTIGINES 301<br />

Carney complex (NAME/LAMB syndrome) – autosomal<br />

dominant, multiple lentigines, melanocytic nevi, blue nevi,<br />

cutaneous myxomas, psammomatous schwannoma, cardiac<br />

myxomas, testicular Sertoli cell tumors, gynecomastia, myxoid<br />

breast fibroadenomas, pituitary adenomas, thyroid disease,<br />

adreno-cortical disease Molec Genet Metab 78:83, 2003;<br />

Clin Endocrinol 86:4041, 2001; Curr Prob Derm VII:143–198,<br />

1995; Medicine 64:270, 1985; conjunctival lentigines JAAD<br />

42:145, 2000; epithelioid blue nevus and psammomatous<br />

melanotic schwannoma Semin Diagn Pathol 15:216–224, 1998;<br />

J Clin Invest 97:699–705, 1996; Dermatol Clin 13:19–25, 1995;<br />

JAAD 10:72–82, 1984<br />

Centrofacial lentiginosis – synophrys, high arched palate,<br />

sacral hypertrichosis, spina bifida, scoliosis Rook p.1719, 1998,<br />

Sixth Edition; BJD 94:39–43, 1976<br />

Cowden’s disease – periorificial and acral pigmented macules<br />

Bolognia p.982, 2003<br />

Cronkhite–Canada syndrome – lentigo-like macules of face,<br />

extremities, and diffuse pigmentation of palms; gastrointestinal<br />

polyposis, malabsorption, alopecia, dystrophic nails<br />

AD 135:212, 1999<br />

Deafness Bolognia p.982, 2003<br />

FACES syndrome (unique facies, anorexia, cachexia, eye, skin<br />

lesions) J Craniofac Genet Dev Biol 4:227–231, 1984<br />

Fanconi’s anemia – freckle-like hyperpigmentation in<br />

sun-exposed areas, abdomen, flexures, and genitals<br />

Dermatol Clin 13:41–49, 1995<br />

Gardner’s syndrome – lentigines of head and extremities<br />

JAAD 45:940–942, 2001<br />

Gastro-cutaneous syndrome – peptic ulcer/hiatal hernia,<br />

multiple lentigines, café-au-lait macules, hypertelorism, myopia<br />

Am J Med Genet 11:161–176, 1982<br />

Gaucher’s disease – diffuse hyperpigmentation, easy tanning,<br />

pigmented macules BJD 111:331–334, 1984<br />

Halal syndrome – autosomal dominant; multiple lentigines,<br />

café-au-lait macules, hypertelorism, myopia, hiatal hernia/peptic<br />

ulcer Am J Med Genet 11:161–176, 1982<br />

Hermansky–Pudlak syndrome – multiple lentigines and<br />

ephelides<br />

Inherited patterned lentiginosis in blacks – lentigines on face<br />

and lips, buttocks and extremities AD 125:1231–1235, 1989<br />

Laugier–Hunziker syndrome – macular pigmentation of lips and<br />

buccal mucosa, melanonychia, genital macules JAAD<br />

50:S70–74, 2004; J Eur Acad Dermatol Venereol 15:574–577,<br />

2001; Hautarzt 42:512–515, 1991; Clin Exp Derm 15:111–114,<br />

1990; Arch Belges Dermatol Syph 26:391–399, 1970<br />

Lentiginosis with arterial dissection syndrome NEJM<br />

332:576–579, 1995<br />

Lentiginosis with cutaneous myxomas JAAD 44’282–284, 2001<br />

Lentiginosis with osteochondromyxoma of bone Am J Surg<br />

Pathol 25:164–1776, 2001<br />

Lentiginosis with nevoid hypopigmentation BJD 144:188–189,<br />

2001<br />

Lentiginosis with testicular microlithiasis Clin Exp Dermatol<br />

25:655–656, 2000<br />

LEOPARD syndrome (multiple lentigines syndrome; Moynahan<br />

syndrome) – autosomal dominant; generalized lentiginosis,<br />

especially over neck and trunk; structural cardiac abnormalities,<br />

cardiac symptoms, electrocardiographic abnormalities,<br />

genitourinary abnormalities (gonadal hypoplasia, hypospadias,<br />

delayed puberty), neurologic defects, cephalofacial<br />

dysmorphism, short stature or low birth weight, skeletal

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