Acrodermatitis chronica atrophicans physical examination
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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.