Schneiderman Prelims Vol-I. qxd

56
A CLINICIAN
’
S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 1-100.qxd 5/16/2006 6:49 PM Page 56

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Rocky Mountain spotted fever 
Ghatan p.244, 2002, Second Edition
Roseola – adults 
Ghatan p.244, 2002, Second Edition
Ross River virus disease (togavirus) 
Clin Rheum Dis
12:369–388, 1986
Rubella, rubella vaccination
1–2 days’ fever, respiratory symptoms, sub-occipital
lymphadenopathy
Pink–red macular-papular rash
Mean duration of rash 3.5 days
Generalized eruption, top to bottom
Additive symmetric polyarthritis
Arthritis, predilection young adult females
Scarlet fever with septic arthritis – 
Streptococcus pyogenes;
scarlatiniform (sandpaper) rash 
JAAD 39:383–398, 1998; JAAD
21:891–903, 1989
Schistosomiasis (
S. japonicum) – Katayama fever – purpura,
arthralgia, systemic symptoms 
BJD 135:110–112, 1996;
Dermatol Clin 7:291–300, 1989
Seal finger – painful, swollen red finger; synovitis 
J Rheumatol
13:647–648, 1986
Sporotrichosis 
JAAD 28:879–884, 1993; tenosynovitis
J Rheumatol 16:550–553, 1989; bursitis Br J Rheumatol
37:461–462, 1998; prepatellar bursal sporotrichosis
Clin Inf Dis 31:615–616, 2000
Subacute bacterial endocarditis
Petechiae
Splinter hemorrhages, proximal
Cryoglobulins causing purpura
Vasculitis causing palpable purpura
Osler’s node
A painful erythematous nodule with a pale center;
suddenly appears, usually on the fingertips; persists
for hours to days
Janeway lesion
Hemorrhagic and non-tender; may be nodular and
commonly occurs on the palms and soles 
JAAD
22:1088–1090, 1990
Syphilis – secondary 
Infect Dis Clin North Am 1:83–85, 1987;
congenital – osteochondritis – tibia and fibula at birth; later see
osteomyelitis syphilitica (syphilitic dactylitis); Clutton’s joint –
painless synovitis of the knees; sabre shins 
Rook p.1254–1255,
1998, Sixth Edition; Higoumenakis’ sign – sternoclavicular
swelling in congenital syphilis
Varicella – 1–5 large joints, may last up to 3 years 
J Clin Pathol
45:267–269, 1992
West Nile virus 
JAAD 51:820–823, 2004
Whipple’s disease – septal panniculitis associated
with Whipple’s disease 
BJD 151:907–911, 2004;
subcutaneous Whipple’s disease 
JAAD 16:188–190, 1987
Yaws – primary, secondary 
Clin Dermatol 18:687–700,
2000; Rook p.1268–1269, 1998, Sixth Edition; tertiary –
osteitis, periostitis of long bones, metacarpals, metatarsals;
sabre shins; synovial inflammation and tendinous synovitis
of elbows, knees, ankles 
Rook p.1270–1271, 1998,
Sixth Edition
Yersiniosis 
Rook p.2738, 1998, Sixth Edition