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Dermatologic Differential Diagnosis.pdf. - Famona Site

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Myotonic dystrophy Syndromes of the Head and Neck,<br />

p.587, 1990<br />

Renal failure<br />

Multiple hormonal deficiency states<br />

Emotional stress – growth hormone deficiency and delayed<br />

puberty Am J Med 76:737–742, 1984<br />

Familial cytomegalic adrenocortical hypoplasia – X-linked;<br />

pubertal failure Arch Dis Child 56:715–721, 1981<br />

Hemochromatosis J Clin Endocrinol Metab 76:357–361,<br />

1993<br />

Idiopathic<br />

Langerhans cell histiocytosis<br />

Nevoid basal cell carcinoma syndrome – hypogonadism in<br />

males Rook p.1686, 1998, Sixth Edition; JAAD 11:98–104,<br />

1984<br />

Radiation therapy Med Pediatr Oncol 22:250–254, 1994<br />

Sarcoid<br />

Tuberculosis<br />

Tumors – Sertoli–Leydig cell tumor Am J Obstet Gynecol<br />

152:308–309, 1985<br />

Vascular disease<br />

Zinc deficiency, endemic Am J Clin Nutr 30:833–834, 1977;<br />

Arch Int Med 111:407–428, 1963<br />

Hyperprolactinemia – pituitary microadenoma Arch Gynecol<br />

Obstet 264:90–92, 2000; macroproprolactinoma Minerva<br />

Endocrinol 21:67–71, 1996; prolactinomas Clin Endocrinol<br />

(Oxf) 30:131–140, 1989; primary hypothyroidism Curr Ther<br />

Endocrinol Metab 6:223–226, 1997<br />

Specific syndromes with hypogonadotrophism<br />

Bloom’s syndrome – small testes<br />

Cerebellar ataxia<br />

Cohen’s syndrome J Med Genet 17:430–432, 1980<br />

Cockayne syndrome<br />

Cutis laxa – generalized cutis laxa – autosomal<br />

dominant – lesions often preceded in infancy by episodes<br />

of edema; infantile genitalia; scant body hair; bloodhound<br />

appearance of premature aging Rook p.2019–2020, 1998,<br />

Sixth Edition<br />

Down’s syndrome Syndromes of the Head and Neck, p.33,<br />

1990<br />

Hutchinson–Gilford syndrome (progeria) – absent sexual<br />

maturity Am J Med Genet 82:242–248, 1999; J Pediatr<br />

80:697–724, 1972<br />

Laurence–Moon–Biedl syndrome<br />

Multiple lentigines syndrome<br />

Noonan’s syndrome Syndromes of the Head and Neck,<br />

p.805, 1990<br />

Pallister–Hall syndrome Syndromes of the Head and Neck,<br />

p.903, 1990<br />

Popliteal pterygium syndrome Syndromes of the Head and<br />

Neck, p.629, 1990<br />

Prader–Willi syndrome Eur J Pediatr 160:69–70, 2001<br />

Pseudohypothyroidism Syndromes of the Head and Neck,<br />

p.141, 1990<br />

Rothmund–Thomson syndrome (poikiloderma<br />

congenitale) – autosomal recessive; hypogonadism<br />

Ped Derm 18:422–425, 2001; Ped Derm 18:210–212,<br />

2001; Am J Med Genet 22:102:11–17, 2001; Ped Derm<br />

16:59–61, 1999; Rook p.417, 1998, Sixth Edition; Dermatol<br />

Clin 13:143–150, 1995; JAAD 27:75–762, 1992; BJD<br />

122:821–829, 1990; Ped Derm 6:325–328, 1989; Ped<br />

Derm 6:321–324, 1989; JAAD 17:332–328, 1987;<br />

JAAD 17:332–338, 1987<br />

Rubinstein–Taybi syndrome – hypogonadotropic<br />

hypogonadism; autosomal dominant; mutations or deletions<br />

of chromosome 16p13.3; human cAMP response element<br />

binding protein Ped Derm 21:44–47, 2004<br />

Rud’s syndrome<br />

PUBERTY, DELAYED 541<br />

Sakati syndrome Syndromes of the Head and Neck, p.558,<br />

1990<br />

Sclerodactyly, non-epidermolytic palmoplantar<br />

keratoderma, multiple cutaneous squamous cell<br />

carcinomas, periodontal disease with loss of teeth,<br />

hypogenitalism with hypospadius, altered sex hormone<br />

levels, hypertriglyceridemia, 46XX JAAD 53:S234–239,<br />

2005<br />

Seckel syndrome Syndromes of the Head and Neck, p.313,<br />

1990<br />

Short rib-polydactyly syndromes Syndromes of the Head<br />

and Neck, p.218–219, 1990<br />

Triploidy syndrome Syndromes of the Head and Neck, p.64,<br />

1990<br />

Complete trisomy 22 – primitive low-set ears, bilateral<br />

preauricular pit, broad nasal bridge, antimongoloid<br />

palpebral fissures, macroglossia, enlarged sublingual<br />

glands, cleft palate, micrognathia, clinodactyly of fifth<br />

fingers, hypoplastic fingernails, hypoplastic genitalia, short<br />

lower limbs, bilateral sandal gap, deep plantar furrows<br />

Pediatrics 108:E32, 2001<br />

Turner’s syndrome – gonadal dysgenesis Curr Ther<br />

Endocrinol Metab 6:223–226, 1997; Syndromes of the<br />

Head and Neck, p.54, 1990<br />

Walker–Warburg syndrome Syndromes of the Head and<br />

Neck, p.593, 1990<br />

Werner’s syndrome<br />

X-linked ichthyosis Clin Exp Dermatol 22:201–204, 1997<br />

49,XXXXY syndrome Syndromes of the Head and Neck,<br />

p.59, 1990<br />

Systemic disease<br />

AIDS Trop Doct 31:233, 2001; J Acquir Immune Defic<br />

Syndr 21:333–337, 1999<br />

Alagille syndrome – xanthomas of palmar creases,<br />

extensor fingers, nape of neck; growth retardation, delayed<br />

puberty Ped Derm 22:11–14, 2005<br />

Anorexia nervosa, unwarranted dieting Nutr Rev 42:14–15,<br />

1984<br />

Biliary atresia J Pediatr Surg 25:808–811, 1990<br />

Chronic renal failure Pediatr Nephrol 7:551–553, 1993;<br />

congenital magnesium-losing kidney Ann Clin Biochem<br />

30:494–498, 1993<br />

Congenital heart disease<br />

Cushing’s disease J Pediatr Endocrinol 6:201–204, 1993<br />

Cystic fibrosis Clin Pediatr (Phila) 37:573–576, 1998;<br />

Pediatrics 99:29–34, 1997; Pediatrician 14:253–260, 1987<br />

Diabetes mellitus<br />

Gaucher’s disease type 1 Isr Med Assoc J 2:80–81, 2000<br />

Gluten intolerance<br />

Hypothyroidism<br />

Inflammatory bowel disease<br />

Sickle cell disease West Indian Med J 44:20–23, 1995<br />

Thalassemia major J Pediatr Endocrinol Metab<br />

10:175–184, 1997; Eur J Pediatr 156:777–783, 1997<br />

Trichothiodystrophy, mental retardation, short stature, ataxia,<br />

and gonadal dysfunction Am J Med Genet 35:566–573, 1990<br />

Trisomy 18 mosaicism Am J Med Genet 50:94–95, 1994<br />

X-linked agammaglobulinemia with growth hormone<br />

deficiency and delayed growth and puberty Acta Paediatr<br />

83:99–102, 1994<br />

Zinc deficiency Ann Rev Nutr 5:341–363, 1985<br />

Excessive exercise Ann NY Scad Sci 709:55–76, 1994<br />

Low gonadotropins – pubertal failure<br />

Congenital<br />

Kallmann’s syndrome<br />

Luteinizing hormone deficiency<br />

Follicle stimulating hormone deficiency<br />

Panhypopituitarism

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