Acrodermatitis chronica atrophicans physical examination: Difference between revisions
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*[[Physical examination]] of some [[patients]] may reveal [[Ulna|ulnar bands]]. | *[[Physical examination]] of some [[patients]] may reveal [[Ulna|ulnar bands]]. | ||
*[[Fibrosis|Fibrotic]] [[Nodule (medicine)|nodules]] could be seen on [[bone|bony]] prominences, such as [[tibia]] or [[ulna]].<ref name="Muller2012">{{cite journal|last1=Muller|first1=Kurt E.|title=Damage of Collagen and Elastic Fibres by Borrelia Burgdorferi – Known and New Clinical and Histopathological Aspects|journal=The Open Neurology Journal|volume=6|issue=1|year=2012|pages=179–186|issn=1874205X|doi=10.2174/1874205X01206010179}}</ref> | *[[Fibrosis|Fibrotic]] [[Nodule (medicine)|nodules]] could be seen on [[bone|bony]] prominences, such as [[tibia]] or [[ulna]].<ref name="Muller2012">{{cite journal|last1=Muller|first1=Kurt E.|title=Damage of Collagen and Elastic Fibres by Borrelia Burgdorferi – Known and New Clinical and Histopathological Aspects|journal=The Open Neurology Journal|volume=6|issue=1|year=2012|pages=179–186|issn=1874205X|doi=10.2174/1874205X01206010179}}</ref> | ||
*In rare cases tenosynovitis and dactylitis have been reported.<ref name="LevyMorruzzi2012">{{cite journal|last1=Levy|first1=Eve|last2=Morruzzi|first2=Charlotte|last3=Barbarini|first3=Anne|last4=Sordet|first4=Christelle|last5=Cribier|first5=Bernard|last6=Jaulhac|first6=Benoît|last7=Lipsker|first7=Dan|title=Clinical Images: Toe dactylitis revealing late Lyme borreliosis|journal=Arthritis & Rheumatism|volume=64|issue=4|year=2012|pages=1293–1293|issn=00043591|doi=10.1002/art.34395}}</ref><ref name="pmid33085436">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=33085436 | doi= | pmc= | url= }} </ref> | *In rare cases [[tenosynovitis]] and [[dactylitis]] have been reported.<ref name="LevyMorruzzi2012">{{cite journal|last1=Levy|first1=Eve|last2=Morruzzi|first2=Charlotte|last3=Barbarini|first3=Anne|last4=Sordet|first4=Christelle|last5=Cribier|first5=Bernard|last6=Jaulhac|first6=Benoît|last7=Lipsker|first7=Dan|title=Clinical Images: Toe dactylitis revealing late Lyme borreliosis|journal=Arthritis & Rheumatism|volume=64|issue=4|year=2012|pages=1293–1293|issn=00043591|doi=10.1002/art.34395}}</ref><ref name="pmid33085436">{{cite journal| author=| title=StatPearls | journal= | year= 2021 | volume= | issue= | pages= | pmid=33085436 | doi= | pmc= | url= }} </ref> | ||
==References== | ==References== | ||
Revision as of 02:01, 11 June 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].
Physical Examination
Physical examination of patients with acrodermatitis chronica atrophicans is usually remarkable for skin changes such as blue-red discoloration, thinning, shinning and atrophy.
Vital Signs
Vital signs of patients with acrodermatitis chronica atrophicans is usually normal.
Skin
The following are some of the findings in skin examination of acrodermatitis chronica atrophicans's patients:[1][2][3][4]
- Blue, red or brown discoloration
- Darkening of skin
- Hypopigmentation
- Indurated plaques
- Thinning
- Shining (also addressed as "cigarette paper skin")
- Visible veins
- Wrinkles
- Swelling
- Peeling
- Fibrotic nodules (commonly on bony prominences, such as ulnar or tibial areas)
- Fibrosis
HEENT
Neck
- Neck examination of patients with acrodermatitis chronica atrophicans is usually normal.
Lungs
- Pulmonary examination of patients with acrodermatitis chronica atrophicans is usually normal.
Heart
- Cardiovascular examination of patients with acrodermatitis chronica atrophicans is usually normal.
Abdomen
- Abdominal examination of patients with acrodermatitis chronica atrophicans is usually normal.
Back
- Back examination of patients with acrodermatitis chronica atrophicans is usually normal.
Genitourinary
- Genitourinary examination of patients with acrodermatitis chronica atrophicans is usually normal.
Neuromuscular
- Peripheral neuropathy develops in 50% of patients.[5]
- The most commonly observed form of peripheral neuropathy is sensory polyaneuropathy.[5][6]
Extremities
- Extremities of patients with acrodermatitis chronica atrophicans are the most common area of skin involvement.[4]
- Moreover patients with acrodermatitis chronica atrophicans can develop joint deformity.[1]
- Physical examination of some patients may reveal ulnar bands.
- Fibrotic nodules could be seen on bony prominences, such as tibia or ulna.[4]
- In rare cases tenosynovitis and dactylitis have been reported.[7][5]
References
- ↑ 1.0 1.1 1.2 Ogrinc K, Maraspin V, Lusa L, Cerar Kišek T, Ružić-Sabljić E, Strle F (2021). "Acrodermatitis chronica atrophicans: clinical and microbiological characteristics of a cohort of 693 Slovenian patients". J Intern Med. doi:10.1111/joim.13266. PMID 33550695 Check
|pmid=value (help). - ↑ Kim, MyungHwa; Choi, MiSoo; Seong, GiHyun; Park, MyeongJin; Park, Minkee; Hong, SeungPhil; Park, ByungCheol (2020). "Rapidly progressing generalized morphea with high lyme disease titer". Indian Journal of Dermatology. 65 (5): 432. doi:10.4103/ijd.IJD_279_18. ISSN 0019-5154.
- ↑ Nadal, D; Gundelfinger, R; Flueler, U; Boltshauser, E (1988). "Acrodermatitis chronica atrophicans". Archives of Disease in Childhood. 63 (1): 72–74. doi:10.1136/adc.63.1.72. ISSN 0003-9888.
- ↑ 4.0 4.1 4.2 Muller, Kurt E. (2012). "Damage of Collagen and Elastic Fibres by Borrelia Burgdorferi – Known and New Clinical and Histopathological Aspects". The Open Neurology Journal. 6 (1): 179–186. doi:10.2174/1874205X01206010179. ISSN 1874-205X.
- ↑ 5.0 5.1 5.2 "StatPearls". 2021. PMID 33085436 Check
|pmid=value (help). - ↑ Kristoferitsch, W.; Sluga, E.; Graf, M.; Partsch, H.; Neumann, R.; Stanek, G.; Budka, H. (1988). "Neuropathy Associated with Acrodermatitis Chronica Atrophicans Clinical and Morphological Features". Annals of the New York Academy of Sciences. 539 (1 Lyme Disease): 35–45. doi:10.1111/j.1749-6632.1988.tb31836.x. ISSN 0077-8923.
- ↑ Levy, Eve; Morruzzi, Charlotte; Barbarini, Anne; Sordet, Christelle; Cribier, Bernard; Jaulhac, Benoît; Lipsker, Dan (2012). "Clinical Images: Toe dactylitis revealing late Lyme borreliosis". Arthritis & Rheumatism. 64 (4): 1293–1293. doi:10.1002/art.34395. ISSN 0004-3591.