Acrodermatitis chronica atrophicans history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2] Raviteja Guddeti, M.B.B.S. [3]

Acrodermatitis chronica atrophicans Microchapters
Home
Patient Information
Overview
Historical Perspective
Pathophysiology
Causes
Differentiating Acrodermatitis chronica atrophicans from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Acrodermatitis chronica atrophicans history and symptoms On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Acrodermatitis chronica atrophicans history and symptoms All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Acrodermatitis chronica atrophicans history and symptoms
CDC on Acrodermatitis chronica atrophicans history and symptoms
Acrodermatitis chronica atrophicans history and symptoms in the news
Blogs on Acrodermatitis chronica atrophicans history and symptoms
Directions to Hospitals Treating Type page name here
Risk calculators and risk factors for Acrodermatitis chronica atrophicans history and symptoms

History and Symptoms

History

The following are some of the common findings in patients' history:

• Tick bite
  • Since there could be several years between the tick bite and development of skin lesions, absence of tick bite in patients' history is not meaningful alone.
• Erythema migrans
  • Some of the patients in a study experienced erythema migrans 6 months to 8 years before acrodermatitis chronica atrophicansis development.
• Neurological symptoms
• Rheumatological symptoms

Symptoms

• It usually involves extensor surfaces of the acral regions of limbs beginning with an inflammatory stage (bluish red discoloration and edema followed by an atrophic phase. Sclerotic skin plaques may also develop.
• Acrodermatitis chronica atrophicans can progress and cause wrinkle.
• The following are symptoms have been observed in acrodermatitis chronica atrophicans:
  • Sclerotic skin lesions
  • Pain
  • Edema
  • Wrinkles
  • Peripheral neuropathy
  • Arthropathy
  • Constitutional symptoms
  • Joint deformities
• Based on a study done on 693 patients suffering from acrodermatitis chronica atrophicans:
  • Involvement of lower limb (70%) has been more common compared to upper limb (45.2%).
  • In 42.4% of cases acral involvement occurred bilaterally.
  • Only 2 among 693 patients had skin involvement on areas other than extremities.
  • Less than 3% of studied patients had symptoms such as nodule, arthritis, muscle atrophy, joint deformities and paresis.