Acropustulosis repens

International Journal of Dermatology
Nelson Guimarães Proença

Abstract

Pustular eruptions of the extremities of the fingers and toes (acropustulosis) have been grouped under the single term "Hallopeau's acrodermatitis continua", which is a severe disease, with uninterrupted course, and successive eruptions that may become generalized. However, there is a form of acropustulosis with few lesions, evolving with remissions and relapses, with a benign course. It is necessary to separate these two forms of acropustulosis. I had the opportunity to observe six patients with a mitigated form of acropustulosis that does not fit into the diagnostic criteria of Hallopeau's acrodermatitis continua, which should be considered an independent clinical entity. Sometimes, there is only one lesion in each eruption. The pustules are sterile and appear in small crops, located on the hyponychium or on the nail bed. The result is partial onycholysis or nail detachment. After each eruption there is complete recovery. Histopathology shows a nonspongiform pustule filled with neutrophils, with subcorneal localization. Four patients had follow-up for at least 2 years, and one patient presented psoriasis lesions on the scalp after 11 years. Acropustulosis as I described it can be differentiated from Halopeau's acrodermatitis ...Continue Reading

References

Nov 1, 1978·The British Journal of Dermatology·J M Ward, R M Barnes
Apr 1, 1988·Journal of the American Academy of Dermatology·A G Jurik, T Ternowitz
Dec 1, 1981·Annals of the Rheumatic Diseases·H SonozakiM Kawashima
Oct 2, 2002·Acta Dermato-venereologica·Bhushan KumarInderjeet Kaur

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Citations

Sep 14, 2007·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·André Luiz Sena GuimarãesRicardo Santiago Gomez

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