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| Hard
to cure hand & foot dermatitis |
| |
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| Disease |
Background |
Begins Red |
Begins Crusty & Red |
Itches |
Spots Elsewhere on Body |
Biopsy Histology |
| allergic contact & irritant contact |
hobby or occupational; unlikely if both of hands &
feet involved |
yes |
|
maybe |
maybe |
spongiosis likely (and "colloid keratosis" may be the reflection of it) |
| atopic |
hay fever, asthma, easily irritated skin, few siblings |
pink |
|
very much so |
yes, usually (flexor forearms; mons pubis) |
spongiosis likely (and "colloid keratosis" may be the reflection of it) |
| psoriasis |
|
|
scaley, pink, & with pustules seen at
some time or other |
no |
maybe | skiner.htm#pustulosis
polys layered between keratocytes at pustule periphery is nearly diagnostic4 [L07-2586];
psoriatic (or may be obscurred by complicating dyshidrosis or irritant [S-06-11234]) features sometimes; colloid keratosis unlikely unless psoriatic complicated by
other factors; prior treatment can "blunt" diagnostic histologic features [S09-8674]. |
| other, congenital palmar plantar keratoderma |
has been a problem almost whole life |
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| other acquired palmar plantar keratodermas (such as PRP) |
|
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|
yes, a help |
| cutaneouis T-cell lymphomas (CTCLs) |
|
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|
|
yes, a help |
- hyperkeratotic fissured hand and foot eczema
- idiopathic hyperkeratotic hand & foot eczema
- dyshydrotic hand & foot eczema
- plantar keratoderma climactericum
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|
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spongiosis likely (and "colloid keratosis" may be the reflection of it) |
| tinea dermatophytosis |
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yeast &/or hyphae seen |
|
References:
- see University of California at Davis file.
(eczema)
- see Dermatology Online Journal vol9 #2 file.
(atopic)
- superficial "grenz ray" radiation was an old time treatment (and available @ Lex. Med. Ctr.
- Ackerman AB, his Derm 101 website ( http://www.derm101.com/index.asp ).
- you can see photos of some of these entities (we cannot vouch for the diagnostic accuracy of the photos) on such as "Google images".
(posted 31 October
2004; latest addition 19 September 2010) |
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1999 - 2006, all rights reserved, Pathology Associates Of Lexington,
P.A. |
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