Erythema Gyratum Repens

Erythema Gyratum

Gyrate Erythemas Erythema Gyratum Repens and Erythema Chronicum Migrans ECM Infection with Borrelia burgdorferi EGR Internal malignancy, tuberculosis ECM Outdoor activities in endemic areas for Ixodes EGR Truncal arcuate erythematous bands with trailing ECM Expanding erythematous solid or annular patch EGR Mild spongiosis with superficial perivascular ECM Nonspecific superficial and deep lymphocytic ECM Early, early disseminated, chronic late ECM Good with appropriate antibiotic therapy, lt 5...

Epidermolytic Hyperkeratosis

Pityriasis Rotunda Palmar

Acquired Ichthyosis, Acanthosis Nigricans, Palmar Hyperkeratosis PH Tylosis, Howel-Evans Syndrome, tripe palms, AI Hypogranulosis with hyperkeratosis PH Acanthosis with hyperkeratosis and hypergranulosis Generally poor, associated with advanced internal Dependent upon underlying malignancy type and stage of Serious systemic diseases, including visceral cancer, may be indirectly signaled by the development of distinctive cutaneous eruptions. Important aspects of these eruptions include...

Mast Cell Disease Urticaria Pigmentosa

Generalized Animal Cell High Power

IHC repertoire Staging Prognosis Adverse variables Treatment Urticaria pigmentosa, telangiectasia macularis eruptive Nausea, vomiting, diarrhea, syncope, mast cell leukemia, Papules or nodules with or without associated hyperpigmentation and telangiectasia positive Darier's Increased dermal mast cells perivascular or as tumor nodules, basilar hyperpigmentation, vascular ectasia CD117 c-kit and mast cell tryptase positive Bone marrow involvement conveys poor prognosis Varies with subtype of...

Rocky Mountain Spotted Fever

Mononucleosis Measles Rash

Rocky Mountain Spotted Fever and the Rickettsioses Rickettsia rickettsii following Dermacentor sp. tick bite Fever headache followed by macules and petechial eruption of wrists ankles with subsequent generalization Lymphocytic vasculitis with vascular thrombosis, epidermal necrosis organisms with special stains seen in Organisms identified by immunohistochemical and Fatality rate of 20 -30 , worse in the elderly or with Renal failure, myocarditis, arrythmias, DIC and ARDS Intravenous...

Thrombophlebitis Pictures

Acrodermatitis Enteropathica

Glucagon-secreting tumors, usually malignant and MEN I syndrome, Zollinger-Ellison syndrome Rash erythematous, scaly patches intertriginous and acral area angular chelitis, diabetes mellitus, diarrhea Mild epidermal acanthosis with confluent parakeratosis and vacuolar degeneration of the superficial epithelial Malignant pancreatic tumor, weight loss, metastases Necrolytic migratory erythema NME , referred to as the glucagonoma syndrome, is a rare paraneoplastic syndrome consisting of the...

Granulomatous Slack Skin

Granulomatous Inflammation Dermis

Cutaneous T-cell lymphoma, granulomatous mycosis Hodgkin's disease, mycosis fungoides, non-Hodgkin's lymphoma, leukemia, Langerhans cell histiocytosis Pendulous folds in axilla and inguinal regions Epidermotropic, hyperchromatic lymphocytes in epidermis with admixed granulomatous areas and Controversial possibly better than conventional mycosis Anaplasia of T cells, nodal involvement Electron beam irradiation, topical and systemic Granulomatous slack skin GSS is a subtle variant of mycosis...