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Therapeutic Strategies in Dermatology

Pernio/Chilblains: Key Points

Key Points Chilblains (pernio) is a benign condition that occurs in cold, damp environments and presents with symmetric, distal, transient red-to-purple lesions on the extremities. Treatment is centered on keeping the patient warm and avoiding expo…

A Clinical Atlas of 101 Common Skin Diseases

Pernio

An inflammatory process that involves the acra, in particular fingers and toes, and sometimes the thighs with bluish red papules and nodules, which invariably is induced by cold. Chilblain is a synonym for pernio, which usually represents lupus eryt…

Therapeutic Strategies in Dermatology

Raynaud’s Phenomenon/Disease: Overview

…quent Raynaud’s phenomenon, reassurance and avoidance of cold exposure may control the problem. Such individuals should be advised to dress warmly, and to wear gloves or mittens when cold exposure is anticipated. In addition, smoking is contrai…

Therapeutic Strategies in Dermatology

Urticaria: Initial Evaluation

Initial Evaluation Acute urticaria Migrating pruritic edematous papules and plaques of variable size, surrounded by erythema or an area of vasoconstriction (i.e., wheal). Can be intermittent, with the skin returning to normal appearance in less tha…

Histologic Diagnosis of Inflammatory Skin Diseases

Cold panniculitis

Cold panniculitis Synonyms Adiponecrosis e frigore (Haxthausen) Presentation stereotypical Age and sex Newborns and young children Distribution of lesions Sites exposed to low temperature, such as the face and distal part of the extremities Individu…

Histologic Diagnosis of Inflammatory Skin Diseases

Cold panniculitis

An inflammatory process that involves the acra, in particular fingers and toes, and sometimes the thighs with bluish red papules and nodules, which invariably is induced by cold. Chilblain is a synonym for pernio, which usually represents lupus eryt…

A Clinical Atlas of 101 Common Skin Diseases

Factitious Dermatitis

Dermatitis (and/or panniculitis) induced artificially and deliberately by a patient and characterized clinically by findings unlike those of any “authentic” disease, for example, by lesions that have sharply angulated margins, lesions that…

Histologic Diagnosis of Inflammatory Skin Diseases

Poststeroid panniculitis

…on in subcutaneous fat necrosis of the newborn and poststeroid panniculitis. There is little, if any, infiltrate of inflammatory cells. Cold panniculitis exhibits infiltrates of lymphocytes at the junction of the dermis and subcutaneous fat mostly L…

Histologic Diagnosis of Inflammatory Skin Diseases

Factitious dermatitis and panniculitis

…rauma, irrespective of the intent of the patient, this type of panniculitis qualifies as being artefactual. Cold panniculitis presents itself as indurated, ill-defined violaceous nodules and plaques on regions exposed to low temperatures and, in a se…

A Clinical Atlas of 101 Common Skin Diseases

Lymphomas (Other Than Mycosis Fungoides and Lymphomatoid Papulosis)

Malignant neoplasms of B-lymphocytes especially that present themselves usually as papules, nodules, and tumors, sometimes solitary but at other times numerous, and often in clusters on any anatomic site. When “primary,” B-cell lymphomas o…

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