The differential for this condition includes palmoplantar psoriasis, atypical juvenile pityriasis rubra pilaris, palmoplantar keratoderma, and extensive dermatophyte infection. A skin biopsy with additional histological staining for dermatophyte elements can help distinguish between these entities. A skin punch biopsy was performed for this patient, and the results showed epithelial hyperplasia, loss of the granular skin layer with prominent dermal capillaries, and a mixed dermal infiltrate of lymphocytes, macrophages, and neutrophils, all consistent with hyperkeratotic palmoplantar psoriasis. Questions 1 What is the differential diagnosis of erythroderma in this patient? The differential for this condition includes palmoplantar psoriasis, atypical juvenile pityriasis rubra pilaris, palmoplantar keratoderma, and extensive dermatophyte infection. The differential for this condition includes palmoplantar psoriasis, atypical juvenile pityriasis rubra pilaris, palmoplantar keratoderma, and extensive dermatophyte infection.
Table 23-1 Diseases Associated with Exfoliative Dermatitis View Large Favorite TableTable 23-1 Diseases Associated with Exfoliative DermatitisDermatoses. Psoriasisa; Generalized pustular psoriasis87; Pityriasis rubra pilarisa; Impetigo herpetiformis93. Late onset pityriasis rubra pilaris type IV treated with low-dose acitretin. On physical examination, we observed circumscribed, reddish-orange, scaling plaques affecting the elbows and knees and a waxy palmoplantar keratoderma. Although the real nature of tzaraat remains unknown, the differential diagnosis might include the following: Psoriasis, seborrheic dermatitis, favus, dermatophyte infections, nummular dermatitis, atopic dermatitis, pityriasis rosea, crusted scabies, syphilis, impetigo, sycosis barbae, alopecia area. In addition, skin conditions that can be seen in the setting of Down syndrome, and those that are likely to be encountered by care providers of those with developmental disabilities are also introduced. Pityriasis alba. Cheilitis. Pityriasis rubra pilaris. Cutis marmorata. Psoriasis.
Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin. Pustular psoriasis presents with small non-infectious pus-filled blisters. The differential diagnosis of psoriasis includes dermatological conditions similar in appearance such as discoid eczema, seborrhoeic eczema, pityriasis rosea (may be confused with guttate psoriasis), nail fungus (may be confused with nail psoriasis) or cutaneous T cell lymphoma (50 of individuals with this cancer are initially misdiagnosed with psoriasis). Limited evidence suggests removal of the tonsils may benefit people with chronic plaque psoriasis, guttate psoriasis, and palmoplantar pustulosis. He is a member of the National Psoriasis Foundation and International Hyperhidrosis Society. The typical cutaneous manifestations of LP include waxy yellow papules with generalized skin thickening on the face, extremities, and trunk. Pityriasis rubra pilaris is a chronic papulosquamous disorder of unknown pathogenesis, characterized by reddish-orange scaly plaques, palmoplantar keratoderma, and kerato. What is in the differential for palmoplantar pustulosis? Keratoderma blenorrhagicum in Reiter’s dz. What are the 6 different types of Pityriasis Rubra Pilaris? Circumscribed juvenile: erythematous plaques on elbows and knees, resembles psoriasisV. What infections are associated with Lichen Planus?
Bullous pemphigoid may rarely present with palmoplantar blistering. 27 INVESTIGATIONS None usually necessary, but in atypical cases a skin biopsy, mycological examination, or patch testing may be required. 41 TREATMENT Management of these conditions may include use of personal protective equipment or redeploy- ment in the workplace. DIFFERENTIAL DIAGNOSIS Pityriasis rubra pilaris and psoriasis. Andrews’ Diseases of the SkinChapter 10-pg 239-253 & Chapter 11 Boris Ioffe, D.O. Psoriasis. Pityriasis rubra pilaris. Seborrheic dermatitis. Factitial dermatitis. 5 diseases that respond to PDT Actinic keratosis (FDA indication) Actinic cheilitis Bowen’s disease Psoriasis CTCL Superficial BCC Acne Condylomata. Diagnosis of palmoplantar keratoderma and myxedema was confirmed by investigations. Hereditary skin diseases that are characterized ultrastructurally by intracellular clumpings of keratin tonofilaments, such as Darier disease and Ichthyosis Hystrix of Curth-Macklin, display epidermal dyskeratosis also histologically. This Swedish variant of PPK does not show any sign of epidermolytic hyprekeratosis but instead the patients exhibit frequent dermatophyte infections, a complication rarely seen in epidermolytic PPK. The clinical differential diagnosis includes mainly porokeratosis and Bowen’s disease. Common adverse effects include headaches, nonspecific infection, nausea, chills, and fever. Palmoplantar psoriasis is a chronic debilitating type of psoriasis.