213. Dermatologic Differential Diagnosis

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213. Dermatologic Differential Diagnosis

213. Dermatologic Differential Diagnosis

 

 

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COURSE NUMBER: 213

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Syllabus

Dedication ii
Foreword viii
Introduction ix
Acknowledgment x
List of diagnostic conditions:
Abscess 1
Acanthosis nigricans 5
Acneiform lesions 7
Acral cyanosis 12
Acral erythema 15
Acral erythema and scale with or without a linear cutoff 18
Acral papules and nodules; knuckle papules; 19
papules, digital
Acromegalic features 26
Acro-osteolysis 26
Ainhum 27
Alopecia 28
Alopecia, eyebrows 39
Alopecia in neonates, infants or toddlers 41
Angioedema 42
Angiokeratoma corporis diffusum 43
Annular lesions of the penis 43
Annular lesions with surface changes 43
Annular lesions without surface changes 48
Annular scars 52
Aphthous stomatitis 53
Arthritis and rash 54
Atrichia and nail abnormalities 62
Atrophic glossitis 62
Atrophic lesions 63
Basal cell carcinoma – syndromes 73
‘Black’ dermatologic entities 74
Black oral lesions 76
Blaschko-esque entitites 76
Blue spots 79
Blueberry muffin lesions, neonate 85
Breast asymmetry 85
Breast lesions 86
Breast hypertrophy and breast masses 87
Buffalo hump 89
Bullae and/or vesicles 89
Bullae, hemorrhagic 99
Bullae, hemorrhagic, septic 102
Bullae in newborn 103
Bullae of infants and children 103
Bullae of the fingers or toes 105
Burning tongue 108
Butterfly rash 108
Café au lait macules, associations 110
Cellulitis in the immunocompromised host 112

Cerebriform lesions 113
Chalky material extruded from lesion 115
Cheilitis (crusted lips) 115
Chest wall tumors 117
Cleft lip/palate – associated skin disorders 118
Cobblestone appearance of the oral mucosa 118
Cobblestone appearance of skin 120
Conjunctivae, pigmented lesions 123
Cutaneous horns 124
Cutis laxa-like appearance 125
Cysts, with or without drainage 127
Dermatitis 130
Dermatitis, facial, pediatric 136
Dermatitis, periorbital 138
Dermatitis, periorificial 140
Dermatographism 142
Dimples 143
Dyschromatosis (hypo- and 144
hyperpigmentation)
Dyshidrosis 145
Ear, hard (petrified auricles) 147
Ear lesions 147
Ears, red, with or without nodules 155
Edema 157
Edema, hands and/or feet 162
Edema, head 165
Edema, legs 166
Erosions (superficial ulcers) 169
Erythrodermas 172
Erythrodermic infant 176
Eschars 177
Exanthem 177
Exfoliation (desquamation) 184
Eyelid lesions 186
Eyes, red, and rash 194
Facial dermatitis, scaly 201
Facial edema 203
Facial papules 205
Facial papules and plaques 212
Facial plaques, scarring and non-scarring 214
Facial scars 218
Facial ulcers 219
Fibromatoses of children 221
Figurate erythemas 221
Fingertip lesions 222
Fingertip necrosis 224
Fingertip ulcers 226
Flushing disorders 227
Follicular plugging 230
Foot ulcers 230
Freckling of the hands 231

Gingival hyperplasia 231
Gingivitis 234
Hair nodules or nits (particulate matter) 237
Hair, premature graying 237
Hemihypertrophy 239
Herpetiform lesions 239
Heterochromic irides 240
Hyperhidrosis 240
Hyperkeratotic lesions 245
Hyperkeratotic lesions of the feet 249
Hyperkeratotic lesions of the hands 252
Hyperkeratotic papules of the nipple 254
Hyperpigmentation in Blaschko’s lines 254
Hyperpigmentation, diffuse 255
Hyperpigmentation, paronychial 258
Hyperpigmentation, patchy 258
Hyperpigmentation, segmental or zosteriform 265
Hyperpigmented lesions, discrete annular 266
Hypertrichosis, generalized 268
Hypertrichosis, localized 271
Hypohidrosis (anhidrosis) 277
Hypopigmented patches or plaques 280
Hypoplasia of distal phalanges 285
Ichthyosiform eruptions: acquired ichthyosis 285
Immune deficiency syndromes with pyodermas 290
Inguinal lymphadenitis 292
Intertrigo, including diaper dermatitis 292
Iris lesions, pigmented 296
Kaposi’s sarcoma 297
Kinky hair 297
Knuckle papules 297
Knuckles, pebbly with scarring: ‘Why do my 299
hands look so old?’
Lacrimal gland, enlarged 300
Lentigines 300
Leonine facies 302
Leukoderma, guttate 303
Leukonychia 304
Leukoplakia 305
Linear hypopigmentation 307
Linear lesions 307
Linear lesions along veins 315
Lip lesions, pigmented 317
Lip papules 318
Lip pits 320
Lips, swollen 320
Livedo reticularis with or without necrosis 323
Macrodactyly (enlarged digit) 327
Marfanoid habitus 330
Masses of the head and neck 331
Melanoma – clinical simulators 334
Melanonychia 335
Micronychia and anonychia 336
Midline facial nodules of children 338
Midline nasal masses 338
Milia and milia-like lesions (fine white papules) 338
Mucinoses 340
Nasal infiltration or enlargement 341
Nasal septal ulcerations/perforations/rhinophagic 343
ulceration
Neck lesions 345
Neck papules 350
Necrosis 353
Nevi: syndromes associated with nevi 361

Nipple dermatitis 363
Nipple lesions, including nipple with multiple papules 364
Nodules, congenital 366
Nodules, foot 367
Nodules, juxta-articular 370
Nodules, knee 372
Nodules, multilobulated 373
Nodules, multiple, subcutaneous 376
Nodules, red on the extremities 378
Nodules, red, face 385
Nodules, red, hand 387
Nodules, skin-colored 389
Nodules, ulcerated 397
Nodules, unspecified location 401
Nodules, red or violaceous, with vascular appearance 403
No fingerprint syndromes 410
Normal skin/barely perceptible plaque 411
Onycholysis 411
Oral mucosa, blue pigmentation 413
Oral mucosa, cysts 414
Oral mucosa, nodules 414
Oral mucosa, ulcerations 418
Oral mucosa, verrucous and vegetating lesions 423
Oral mucosal hyperpigmentation 424
Osteoma cutis 426
Painful tumors 426
Palatal necrosis 427
Palmar erythema 428
Palmar or plantar nodules 430
Palmar pits and punctate keratoses/dyshidrosis-like 431
lesions
Palmoplantar keratodermas 433
Palmoplantar keratodermas – alternative classification 442
Palmoplantar pustules 443
Papules and nodules, hyperpigmented (with or
without hyperkeratosis) 443
Papules, crusted 446
Papules, digital 449
Papules, dirty brown 452
Papules, distal, digital, white 453
Papules, facial, solitary 453
Papules, flat-topped 455
Papules, follicular, including folliculitis 458
Papules, hyperkeratotic 463
Papules, hyperpigmented with hypertrichosis 468
Papules, periorbital 468
Papules, red 470
Papules, skin-colored 477
Papulosquamous eruptions 480
Papulovesicular dermatitis in infants 481
Paraneoplastic dermatoses 481
Paraproteinemias, cutaneous manifestations 483
Paronychia 483
Parotid gland enlargement 485
Particulate matter/exfoliation 487
Pedunculated (polypoid) lesions 488
Penile lesions 490
Penile ulcers 496
Perianal dermatitis and hypertrophic plaques 498
Perianal ulcers, single or multiple 501
Periorbital edema/erythema/dermatitis 502
Photoeruption and/or seborrheic dermatitis-like eruption 508
Pityriasis rosea-like eruptions 518
Plantar erythema 519
Poikilodermas of childhood 521
Poikilodermas of adulthood 522
Poliosis – localized or generalized (canities) 523
Polydactyly 523

Pore 524
Port wine stain 524
Preauricular sinuses (ear pits) 525
Premature aging syndromes 525
Pruritic tumors 527
Pruritus, anal 527
Pruritus, erythematous papules 528
Pruritus, generalized (without primary skin lesions) 530
Pruritus vulvar 533
Pseudoxanthoma elasticum-like changes 533
Psoriasiform dermatitis 534
Psoriasiform plaque, focal or solitary 537
Pterygia 539
Pterygium of the nail 539
Puberty, delayed 540
Puberty, premature 542
Purpura 543
Purpura, neonatal 554
Purpuric rash and fever 554
Pustular and vesicopustular eruptions in newborn 557
Pustules and pustular eruptions 558
Red elbow 565
Red face 566
Red feet 569
Red nose 571
Red patch 573
Red plaques 579
Redundant skin 588
Reticulated eruptions 590
Reticulated hyperpigmentation 595
Rosette lesions 596
Scalp cysts 596
Scalp dermatitis 597
Scalp nodules 599
Scalp, red plaques 604
Scarring of neck 604
Scar and lesions in scars 605
Sclerodermoid changes 605
Scrotal nodules 610
Scrotal nodules with erosions 612
Scrotal ulcerations 612
Serpiginous lesions 614
Short stature 616
Sinus tracts 623
Spinal dysraphism, cutaneous stigmata 625
Splinter hemorrhages 625
Sporotrichoid lesions 626
Spotty pigmentation of the face 627
Striae distensae 627
Syndactyly 627
Tail 630
Target lesions 630

Tattoo, palpable: lesion in a tattoo 633
Teeth 633
Telangiectasias – congenitial disorders 636
Telangiectasias – acquired disorders 638
Tongue, enlarged (macroglossia) 640
Tongue, hyperpigmentation 642
Tongue, multilobulated 643
Tongue, red 644
Tongue, scrotal 645
Tongue, ulcer 646
Transient blisters in infants 648
Trichomegaly 648
Tropical fever and rash 648
Tumors, giant 650
Ulcers 652
Ulcers, leg 661
Ulcers of the leg in a young patient 666
Umbilical lesions 667
Umbilical nodules 670
Umbilicated lesions 671
Unilateral foot edema 674
Urticaria and urticaria-like lesions 674
Uvula, enlarged 679
Vasculitis, disease associations 680
Vasculitis, granulomatous 680
Vasculitis, leukocytoclastic 680
Vasculitis, thrombotic 681
Vasculitis, types 682
Vegetating lesions 683
Verrucous lesions of the legs 684
Verrucous lesions, periungual 685
Verrucous plaques 686
Vulva, hypertrophic and/or edematous lesions 691
Vulvar erythema/pruritus 693
Vulvar papules and nodules 694
Vulvar ulcers 697
White feet 699
White macules 700
White papules or nodules 706
Xanthomatous lesions 708
Xerosis – associations and causes 708
Yellow nail syndrome 711
Yellow to skin colored papules of the neck 711
Yellow papules and/or plaques 712
Yellow plaque 716
Yellow skin 717
Zebra stripes (zebra-like pigmentation) 718
Zosteriform lesions/segmental disorders 721

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