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As of yet, the precise etiology of necrolytic acral erythema remains unknown. Numerous causes, including hepatic dysfunction, hypoglucagonemia, hypoalbimunemia, hypoaminoacidemia, zinc deficiency, and diabetes with or without an underlying hepatitis C viral infection, have been postulated as part of the multifactorial pathophysiology of necrolytic acral erythema.
The diagnosis is frequently made by treating the initial triggering skin problem and observing the improvement in the eczematous rash. Both the initial skin problem and the id reaction must be observed to make the diagnosis. [5] [6] Not all dyshidrotic rashes are id reactions, but id reactions are often dyshidrotic-like. [2]
In one of its modes of operation, after a healthcare provider enters some basic facts about the patient, VisualDx presents peer-reviewed photographs or diagrams of medical conditions such as skin conditions, ordered from the most to the least likely, to assist in diagnosis. [1] The system holds over 100,000 images. [2]
Erythroderma is generalized exfoliative dermatitis, which involves 90% or more of the patient's skin. [3] The most common cause of erythroderma is exacerbation of an underlying skin disease, such as Harlequin-type ichthyosis, psoriasis, contact dermatitis, seborrheic dermatitis, lichen planus, pityriasis rubra pilaris or a drug reaction, such as the use of topical steroids. [4]
What it looks like: Like seborrheic dermatitis, perioral dermatitis causes red, inflamed skin and small pustules around the nose and mouth. Other symptoms to note : Flare-ups can be itchy and ...
The diagnosis is by visual examination of skin lesions and sun exposure history. A diagnosis of acne aestivalis is made once the patient reports the onset of papules was 1–3 days after sun exposure. [1]
Biopsies are typically not necessary, and cannot be used to rule out other atopic dermatitis or other eczemas. [9] [10] However, patch testing may be employed to rule out irritants (contact dermatitis) as a cause. [6] [11] In children, nummular dermatitis is commonly confused with tinea corporis. [8]
Chronic actinic dermatitis is a condition characterized by chronic skin inflammation due to sunlight or artificial light. It is similar to solar urticaria or cholinergic urticaria . Patients often have related skin conditions that cause dermatitis in response to a variety of stimuli , including flowers, sunscreens, and cosmetics.