Rounded purple erythematous plates on back of hands

Authors

  • Yolanda Luján Giménez Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina
  • María Clara Mancinelli Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina
  • Hernán Agustín Feola Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina
  • María Alejandra Verea Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/da.v25i1.2111

Keywords:

rounded purple erythematous plates, back of hands

Abstract

A 58-year-old patient, from Paraguay, with a personal history of arterial hypertension, cerebrovascular accident without sequelae, and smoking (ex-smoker of 15 cigarettes a day for 30 years), consulted for a painful dermatosis on the back of both hands and on the elbow left, 7 days of evolution. He was under study due to suffering from a condition, of months of evolution, characterized by chronic diarrhea, weight loss of 25 kg, arthralgias in the knees and febrile episodes.

Author Biographies

Yolanda Luján Giménez, Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina

Resident Medical Doctor

María Clara Mancinelli, Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina

Chief of Residents

Hernán Agustín Feola, Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina

Dermatologist Physician

María Alejandra Verea, Dermatology Service, “San Juan de Dios” Interzonal Specialized Acute and Chronic Hospital, La Plata, Province of Buenos Aires, Argentina

Head of Service

References

I. Sweet RB. An acute febrile neutrophtlic dermatosis. Br J Dermatol 1964;76:349-356.

II. Jorizzo JL. Pustular vasculitis: An emerging disease concept. J Am Acad Dermatol 1983;9:160-162.

III. Strutton G, Weedon D, Robertson I. Pustular vasculitis of the hands. J Am Acad Dermatol 1995;32:192-198.

IV. Cohen PR. Skin lesions of Sweet syndrome and its dorsal hand variant contain vasculitis: an oxymoron or an epiphenomenon? Arch Dermatol 2002;138:400-403.

V. Galaria NA, Junkins-Hopkins JM, Kligman D, James WD. Neutrophilic dermatosis of the dorsal hands: Pustular vasculitis revisited. J Am Acad Dermatol 2000;43(5):870-874.

VI. Weenig RH, Bruce AJ, McEvoy M, Gibson LE, et ál. Neutrophilic dermatosis of the hands: four new cases and review of the literature. Int J Dermatol 2004;43:95-102.

VII. Boussofara L, Gammoudi R, Ghariani N, Aounallah A, et ál. Dermatose neutrophilique des mains: un syndrome de Sweet acral? Rev Med Intern 2015;36:287-290.

VIII. Micallef D, Bonnici M, Pisani D, Boffa MJ. Neutrophilic dermatosis of the dorsal hands: a review of 123 cases. J Am Acad Dermatol 2019:S0190-9622(19)32678-7.

IX. Villa R, Torres Cortijo A, Ciancio R, Peláez O. Dermatosis neutrofílica (vasculitis pustular) del dorso de las manos. Dermatol Argen 2004;10:278-281.

X. Del Pozo J, Sacristán F, Martínez W, et ál. Neutrophilic dermatosis of the hands: presentation of eight cases and review of the literature. J Dermatol 2007;34:243-247.

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Published

2021-03-30

Issue

Vol. 27 No. 1 (2021): January-March 2021

Section

What is your Diagnosis?

License

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