Dermatologic Differential Diagnosis.pdf. - Famona Site

364 A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
INFLAMMATORY
Hidradenitis suppurativa
Neutrophilic eccrine hidradenitis
Periductal mastitis – nipple discharge Ghatan p.51, 2002,
Second Edition
Pyoderma gangrenosum
Superficial granulomatous pyoderma
METABOLIC DISEASES
Prolidase deficiency JAAD 29:819–821, 1993
NEOPLASTIC DISEASES
Adenocarcinoma
Basal cell carcinoma – crusted dermatitis JAAD 22:207–210,
1990
Blue nevus
Bowen’s disease Derm Surg 27:971–974, 2001
Breast carcinoma – direct spread from underlying breast
carcinoma; primary inflammatory breast carcinoma; nipple
discharge
Clear cell acanthoma BJD 141:950–951, 1999
Epidermal nevus
Keratoacanthoma
Lentigo maligna Cutis 40:357–359, 1987
Lymphoma – cutaneous T-cell lymphoma; cutaneous T-cell
lymphoma presenting as hyperkeratosis areolae mammae
JAAD 41:274–276, 1999
Melanoma
Metastases – carcinoma erysipelatoides
Nevus, melanocytic
Paget’s disease of the breast (nipple) Rook p.1677–1678,2709,
1998, Sixth Edition; Br J Clin Pract 41:694–696, 1987;
Dermatologica 170:170–179, 1985; Surg Gynecol Obstet
123:1010–1014, 1966; in male J Cut Surg Med 4:208–212, 2000
Sebaceous hyperplasia Cutis 58:63–64, 1996
Seborrheic keratoses
Verrucous acanthoma
Wart
PRIMARY CUTANEOUS DISEASES
Acanthosis of nipple
Acanthosis nigricans/pseudoacanthosis nigricans
Apocrine chromhidrosis – black dot of nipple Ped Derm
12:48–50, 1995
Atopic dermatitis Ped Derm 22:64–66, 2005; Trans St John’s
Hosp Dermatol Soc 58:98–99, 1972
Darier’s disease – erosions JAAD 23:893–897, 1990
Erosive adenomatosis of the nipple – blood-stained or serous
discharge; enlarged nipple; eroded, crusted, dermatitis; papule
on nipple JAAD 40:834–837, 1999; Cutis 59:91–92, 1997; JAAD
12:707–715, 1985; papillary adenoma of the nipple Plast
Reconstr Surg 90:1077–1078, 1992
Erythema craquele
Florid papillomatosis of the nipple Ghatan p.51, 2002,
Second Edition
Fox–Fordyce disease
Hailey–Hailey disease
Hyperkeratosis of the nipple (hyperkeratosis areolae mammae)
JAAD 41:274–276, 1999; Australas J Dermatol 40:220–222,
1999; JAAD 13:596–598, 1985
Idiopathic dermatitis of the nipple Trans St John’s Hosp
Dermatol Soc 58:98–99, 1972
Lichen sclerosus et atrophicus BJD 129:748–749, 1993
Lichen simplex chronicus
Mamillary fissure
Mammary duct ectasia JAAD 40:834–837, 1999
Milium
Nummular dermatitis
Psoriasiform dermatitis
Psoriasis
Seborrheic dermatitis
Subareolar duct papillomatosis
PSYCHOCUTANEOUS
Factitial dermatitis
SYNDROMES
Netherton’s syndrome
Neurofibromatosis
TRAUMA
Breast feeding (lactation mastitis) – edema, erythema and
tenderness JAMA 289:1609–1612, 2003
Guitar nipple JAAD 22:657–663, 1990
Jogger’s nipple Am J Ind Med 8:403–413, 1985;
NEJM 297:1127, 1977
Nipple ring
Radiation dermatitis
Surf rider’s dermatitis Contact Dermatitis 32:247, 1995
VASCULAR
Wegener’s granulomatosis
NIPPLE LESIONS, INCLUDING
NIPPLE WITH MULTIPLE PAPULES
AUTOIMMUNE DISEASES, AND DISEASES
OF IMMUNE DYSFUNCTION
Pemphigus foliaceus
CONGENITAL ANOMALIES
Absent or rudimentary nipples with lumpy scalp and unusual
pinnae (Finlay syndrome) – autosomal dominant Genet Couns
2:233–236, 1991; BJD 99:423–430, 1978
Adnexal polyp of neonatal skin BJD 92:659–662, 1975
Carbohydrate-deficient glycoprotein syndrome – inverted
nipples; emaciated appearance; lipoatrophy over buttocks;