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
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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.
  • Based on a study done on 693 patients with acrodermatitis chronica atrophicans approximately 85% remembered a tick bite.
• 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.
  • Small fraction of patients didn't experience any skin discoloration and their main presentations were edema and atrophic changes.