Dermatologic Differential Diagnosis.pdf. - Famona Site

316 A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Relapsing polychondritis – superficial thrombophlebitis
Rook p.2042, 1998, Sixth Edition; Medicine 55:193–216, 1976
Rheumatoid arthritis – erythema, papules, and/or
hyperpigmentation JAAD 29:1039–1040, 1993
Scleroderma – supravenous erythema, papules, and/or
hyperpigmentation; pigment retention over superficial blood
vessels in area of depigmentation JAAD 11:265–268, 1984
CONGENITAL DISORDERS
Sinus pericranii – alopecic red or blue nodule of scalp
with outline of underlying veins within the nodule
JAAD 46:934–941, 2002
DRUGS
Actinomycin and vincristine JAAD 43:540–546, 2000
Bromodeoxyuridine – linear supravenous papules and erythema
JAAD 43:540–546, 2000; AD 122:199–200, 1986
Corticosteroids – post-steroid injection atrophy and/or
hypopigmentation along draining lymphatics
Cyclophosphamide JAAD 43:540–546, 2000
CHOP therapy JAAD 43:540–546, 2000
Docataxel – supravenous hyperpigmentation
BJD 142:1069–1070, 2000
Doxorubicin JAAD 43:540–546, 2000; supravenous urticaria
(3%) Cancer Treatment Reports 63:2027–2069, 1979; Cancer
Chemotherapy Reports 59:1177–1179, 1975
5-fluorouracil – erythema or pigmentation overlying veins JAAD
53:529–530, 2005; JAAD 43:540–546, 2000; JAAD 39:839–842,
1998; AD 129:644–645, 1993; JAAD 25:905, 1991
Fotemustine – pigmentation overlying veins JAAD 39:839–842,
1998
Minocycline – supravenous hyperpigmentation of veins
previously treated with sclerotherapy JAAD 44:342–347, 2001
Mitomycin – papules JAAD 43:540–546, 2000
Polychemotherapy – pigmentation overlying veins
JAAD 39:839–842, 1998
Triazinate – pigmentation overlying veins JAAD 39:839–842,
1998
Vinblastine JAAD 43:540–546, 2000
Vinorelbine – pigmentation overlying veins JAAD 39:839–842,
1998
EXOGENOUS AGENTS
Sclerotherapy with necrosis J Derm Surg Oncol 15:214–219,
1989
INFECTIONS AND INFESTATIONS
Bacterial lymphangitis
Cellulitis with lymphangitis
Dermatophyte cellulitis in saphenous vein surgical site Ghatan
p.255, 2002, Second Edition
Herpes simplex with lymphangitis
Insect bite within vein
Lyme disease – lymphangitic streaking JAAD 49:363–392,
2003
Lymphogranuloma venereum – lymphangitis Int J Dermatol
15:26–33, 1976; Br J Vener Dis 49:193–202, 1973
Parvovirus B19 – lymphangitis Ped Derm 20:184–186, 2003
INFILTRATIVE DISEASES
Amyloidosis – primary systemic; cord-like thickening of blood
vessels Rook p.2633, 1998, Sixth Edition; vascular amyloid in
vessels JAAD 15:379–382, 1986; primary systemic amyloid
presenting as dilated veins Am J Med 109:174–175, 2000
INFLAMMATORY DISEASES
Eosinophilic fasciitis – groove sign (sunken veins)
JAAD 17:648–656, 1987
Sarcoid – presenting as thrombophlebitis Clin J Exp Dermatol
10:592–594, 1985
METABOLIC DISEASES
Homocystinuria – cystathionine-beta synthase deficiency –
superficial thrombophlebitis; marfanoid habitus, malar rash,
larger facial pores, livedo reticularis, tissue paper scars, sparse
fine hair JAAD 46:161–183, 2002; JAAD 40:279–281, 1999
Hyperparathyroidism – calcinosis with venulitis
Liver disease – cirrhosis; caput medusae – portal obstruction
Rook p.2724, 1998, Sixth Edition
NEOPLASTIC DISEASES
Carcinoma telangiectoides
Kaposi’s sarcoma – HIV; hyperalgesic pseudothrombophlebitis
Ghatan p.255, 2002, Second Edition
Metastases – lymphangitic spread of tumor
PARANEOPLASTIC DISEASES
Thrombophlebitis migrans (Trousseau’s sign) – superficial and
deep venous thromboses of neck, trunk, or extremities; strong
association with internal malignancy Int J Derm 23:205–206,
1984; Cutis 21:763–768, 1978; Circulation 22:780, 1960
PHOTODERMATOSES
Phytophotodermatitis mimicking superficial lymphangitis –
supravenous erythema BJD 142:1069–1070, 2000
PRIMARY CUTANEOUS DISEASE
Generalized lipodystrophy – prominence of veins on extremities
AD 124:571–576, 1988
Idiopathic
Vitiligo – overlying varicose veins
SYNDROMES
Antiphospholipid antibody syndrome – thrombophlebitis Semin
Arthritis Rheum 31:127–132, 2001; JAAD 36:149–168, 1997;
JAAD 36:970–982, 1997; Clin Rheumatol 15:394–398, 1996;
South Med J 88:786–788, 1995; BJD 120:419–429, 1989
Behçet’s syndrome – superficial thrombophlebitis Semin
Arthritis Rheum 27:197–217, 1998