Acrodermatitis chronica atrophicans physical examination: Difference between revisions
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[[Vital signs]] of [[patients]] with [[Acrodermatitis chronica atrophicans|acrodermatitis chronica atrophicans]] is usually normal. | [[Vital signs]] of [[patients]] with [[Acrodermatitis chronica atrophicans|acrodermatitis chronica atrophicans]] is usually normal. | ||
===Skin=== | ===Skin=== | ||
*The following are some of the findings in [[skin]] [[physical examination|examination]] of [[acrodermatitis chronica atrophicans]]'s [[patients]]:<ref name="pmid33550695">{{cite journal| author=Ogrinc K, Maraspin V, Lusa L, Cerar Kišek T, Ružić-Sabljić E, Strle F| title=Acrodermatitis chronica atrophicans: clinical and microbiological characteristics of a cohort of 693 Slovenian patients. | journal=J Intern Med | year= 2021 | volume= | issue= | pages= | pmid=33550695 | doi=10.1111/joim.13266 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33550695 }} </ref><ref name="KimChoi2020">{{cite journal|last1=Kim|first1=MyungHwa|last2=Choi|first2=MiSoo|last3=Seong|first3=GiHyun|last4=Park|first4=MyeongJin|last5=Park|first5=Minkee|last6=Hong|first6=SeungPhil|last7=Park|first7=ByungCheol|title=Rapidly progressing generalized morphea with high lyme disease titer|journal=Indian Journal of Dermatology|volume=65|issue=5|year=2020|pages=432|issn=0019-5154|doi=10.4103/ijd.IJD_279_18}}</ref><ref name="NadalGundelfinger1988">{{cite journal|last1=Nadal|first1=D|last2=Gundelfinger|first2=R|last3=Flueler|first3=U|last4=Boltshauser|first4=E|title=Acrodermatitis chronica atrophicans.|journal=Archives of Disease in Childhood|volume=63|issue=1|year=1988|pages=72–74|issn=0003-9888|doi=10.1136/adc.63.1.72}}</ref><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> | *The following are some of the findings in [[skin]] [[physical examination|examination]] of [[acrodermatitis chronica atrophicans]]'s [[patients]]:<ref name="pmid33550695">{{cite journal| author=Ogrinc K, Maraspin V, Lusa L, Cerar Kišek T, Ružić-Sabljić E, Strle F| title=Acrodermatitis chronica atrophicans: clinical and microbiological characteristics of a cohort of 693 Slovenian patients. | journal=J Intern Med | year= 2021 | volume= | issue= | pages= | pmid=33550695 | doi=10.1111/joim.13266 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=33550695 }} </ref><ref name="KimChoi2020">{{cite journal|last1=Kim|first1=MyungHwa|last2=Choi|first2=MiSoo|last3=Seong|first3=GiHyun|last4=Park|first4=MyeongJin|last5=Park|first5=Minkee|last6=Hong|first6=SeungPhil|last7=Park|first7=ByungCheol|title=Rapidly progressing generalized morphea with high lyme disease titer|journal=Indian Journal of Dermatology|volume=65|issue=5|year=2020|pages=432|issn=0019-5154|doi=10.4103/ijd.IJD_279_18}}</ref><ref name="NadalGundelfinger1988">{{cite journal|last1=Nadal|first1=D|last2=Gundelfinger|first2=R|last3=Flueler|first3=U|last4=Boltshauser|first4=E|title=Acrodermatitis chronica atrophicans.|journal=Archives of Disease in Childhood|volume=63|issue=1|year=1988|pages=72–74|issn=0003-9888|doi=10.1136/adc.63.1.72}}</ref><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><ref name="pmid32512846">{{cite journal| author=Scott JD| title=Presentation of Acrodermatitis Chronica Atrophicans Rashes on Lyme Disease Patients in Canada. | journal=Healthcare (Basel) | year= 2020 | volume= 8 | issue= 2 | pages= | pmid=32512846 | doi=10.3390/healthcare8020157 | pmc=7349802 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32512846 }} </ref> | ||
**Blue, [[Erythema|red]] or brown discoloration | **Blue, [[Erythema|red]] or brown discoloration | ||
**Darkening of [[skin]] | **Darkening of [[skin]] | ||
| Line 22: | Line 22: | ||
**[[fibrosis|Fibrotic]] [[Nodule (medicine)|nodules]] (commonly on [[bone|bony]] prominences, such as [[ulna|ulnar]] or [[tibia|tibial]] areas) | **[[fibrosis|Fibrotic]] [[Nodule (medicine)|nodules]] (commonly on [[bone|bony]] prominences, such as [[ulna|ulnar]] or [[tibia|tibial]] areas) | ||
**[[Fibrosis]] | **[[Fibrosis]] | ||
**[[Ulcers]] | |||
*In rare cases [[abdomen]]'s [[skin]] is involved. | *In rare cases [[abdomen]]'s [[skin]] is involved. | ||
Revision as of 15:23, 14 June 2021
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Acrodermatitis chronica atrophicans Microchapters |
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Differentiating Acrodermatitis chronica atrophicans from other Diseases |
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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][5]
- In rare cases abdomen's skin is involved.
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.[6]
- The most commonly observed form of peripheral neuropathy is sensory polyaneuropathy.[6][7]
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.[8][6]
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.
- ↑ Scott JD (2020). "Presentation of Acrodermatitis Chronica Atrophicans Rashes on Lyme Disease Patients in Canada". Healthcare (Basel). 8 (2). doi:10.3390/healthcare8020157. PMC 7349802 Check
|pmc=value (help). PMID 32512846 Check|pmid=value (help). - ↑ 6.0 6.1 6.2 "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.