Palmar plantar erythrodysesthesia differential diagnosis: Difference between revisions

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Mandana Chitsazan (talk | contribs)
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! align="center" style="background:#4479BA; color: #FFFFFF;" + |Additional diagnostic clues
! align="center" style="background:#4479BA; color: #FFFFFF;" + |Additional diagnostic clues
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| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | Palmar plantar erythrodysesthesia
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | Palmar plantar erythrodysesthesia
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | The areas of well-defined intense erythema and edema
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | The areas of well-defined intense erythema and edema
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" |
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" |
* A variable degree of epidermal (keratinocytes) necrosis
* A variable degree of epidermal (keratinocytes) necrosis
* Vacuolar degeneration of the basal cell layer of epidermis
* Vacuolar degeneration of the basal cell layer of epidermis
Line 26: Line 26:
* Neutrophilic eccrine hidradenitis
* Neutrophilic eccrine hidradenitis
* Eccrine squamous syringometaplasia, in severe PPE (WHO grades 3 and 4)
* Eccrine squamous syringometaplasia, in severe PPE (WHO grades 3 and 4)
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | History of chemotherapeutic agent use
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | History of chemotherapeutic agent use
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|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x4
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x4
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x4
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x4
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x4
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x4
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x4
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x4
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x1
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x2
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x3
| style="background: #DCDCDC; padding: 5px; text-align: center;" valign="top" | x4
| style="background: #DCDCDC; padding: 5px; text-align: left;" valign="top" | x4
|-
|-
|}
|}

Revision as of 23:05, 30 July 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mandana Chitsazan, M.D. [2]

Overview

PPE must be differentiated from Graft-Versus-Host Disease (GVHD).

Differentiating palmar plantar erythrodysesthesia from other Diseases

Disease Clinical manifestation Histopathology Additional diagnostic clues
Palmar plantar erythrodysesthesia The areas of well-defined intense erythema and edema
  • A variable degree of epidermal (keratinocytes) necrosis
  • Vacuolar degeneration of the basal cell layer of epidermis
  • Spongiosis
  • Hyperkeratosis
  • Lymphohistiocytic infiltrates
  • Superficial perivascular infiltration of dermis by lymphocytes and eosinophils
  • Papillary dermal edema
  • Neutrophilic eccrine hidradenitis
  • Eccrine squamous syringometaplasia, in severe PPE (WHO grades 3 and 4)
 History of chemotherapeutic agent use
x1 x2 x3 x4
x1 x2 x3 x4
x1 x2 x3 x4
x1 x2 x3 x4
x1 x2 x3 x4

References

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