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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

DEGENERATIVE DISORDERS
Neurotrophic ulcers including those associated with
neuropathies – on metatarsal heads and heels with surrounding
(hemorrhagic) callosities 
Rook p.2775, 1998, Sixth Edition
EXOGENOUS AGENTS
Barber’s hair sinus 
Derm Surg 29:288–290, 2003; AD
112:523–524, 1976
BCG vaccination with scrofuloderma 
Ped Derm 22:179–180,
2005
Foreign body
Hair sinus of the breast 
Clin Exp Dermatol 7:445–447, 1982
Hair sinuses of the feet
Paraffinoma – grease gun injury; nodule, plaque, sinus of hand
BJD 115:379–381, 1986
Silicone, injected – draining sinuses 
AD 141:13–15, 2005;
Derm Surg 27:198–200, 2001
Umbilical hair sinus
SINUS TRACTS
623
Schneiderman page 600-722.qxd 5/16/2006 6:51 PM Page 623


INFECTIONS AND INFESTATIONS
Actinomycosis (
A. israelii ) – cervicofacial – nodule of cheek or
submaxillary area; board-like induration; multiple sinuses with
puckered scarring; sulfur granules discharged 
Cutis
60:191–193, 1997; Infect Dis Clin North Am 2:203–220, 1988;
Arch Int Med 135:1562–1568, 1975; perianal Dis Colon Rectum
37:378–380, 1994; thoracic actinomycosis with multiple sinuses
Am J Clin Pathol 75:113–116, 1981; abdominal Hum Pathol
4:319–330, 1973; primary cutaneous – subcutaneous nodules
with draining sinuses 
Hum Pathol 4:319–330, 1973;
actinomycetoma – forehead sinus tracts; Nocardia braseliensis,
N. asteroides 
BJD 143:192–194, 2000
African blastomycosis
Alveolar echinococcosis 
JAAD 34:873–877, 1996
Amebiasis – perianal abscesses and fistulae 
Proc R Soc Med
66:677–678, 1973; Entamoeba histolytica in neonate Textbook
of Neonatal Dermatology, p.234, 2001
Botryomycosis – granulomatous reaction to bacteria with
granule formation; single or multiple abscesses of skin and
subcutaneous tissue break down to yield multiple sinus tracts;
small papule; extremities, perianal sinus tracts, face 
JAAD
24:393–396, 1991; Int J Dermatol 22:455–459, 1983; AD
115:609–610, 1979
Calymmatobacterium granulomatis (Donovanosis) 
J Clin Inf Dis
25:24–32, 1997
Carbuncle 
Rook p.1119, 1998, Sixth Edition
Coccidioidomycosis 
South Med J 77:1464–1465, 1984
Cryptococcosis 
JAAD 32:844–50, 1995
Dental sinus
Cutis 70:264–267, 2002; J Am Dent Assoc
130:832–836, 1999; JAAD 14:94–100, 1986; JAAD 8:486–492,
1983; AD 114:1158–1161, 1978; in edentulous patients with
retained tooth fragments 
J Craniofac Surg 11:254–257, 2000;
dual sinus tracts
Oral Surg Oral Med Oral Pathol 52:653–656,
1981
Giant condyloma of Buschke and Lowenstein 
AD 136:707–710,
2000
Glanders
Granuloma inguinale – fistulae and scarring 
Rook p.3222, 1998,
Sixth Edition
Histoplasmosis with fistulae 
AD 132:341–346, 1996
Linear bacterial dissection 
Cutis 51:43–44, 1993
Lymphogranuloma venereum – inguinal adenitis with abscess
formation and draining chronic sinus tracts; rectal syndrome in
women with pelvic adenopathy, periproctitis with rectal stricture
and fistulae; esthiomene – scarring and fistulae of the buttocks
and thighs with elephantiasic lymphedema of the vulva;
lymphatics may develop abscesses which drain and form ulcers
Int J Dermatol 15:26–33, 1976
Malacoplakia 
AD 134:244–245, 1998; Am J Dermatopathol
20:185–188, 1998; JAAD 34:325–332, 1996; JAAD 30:834–836,
1994
Mamillary fistula (periareolar abscess) 
Br J Surg 73:367–368,
1986
Melioidosis 
AD 135:311–322, 1999
Milker’s sinuses
Mycetoma – eumycetoma; Acremonium falciforme, Madurella
mycetomatis, Madurella grisea, Exophiala jeanselmei,
Leptosphaeria senegalensis, Leptosphaeria tompkinsii;
actinomycetoma – Nocardia asteroids, Nocardia brasiliensis,
Actinomyces madurae, Streptomyces somaliensis 
JAAD
32:311–315, 1995; Cutis 49:107–110, 1992; Australas J
Dermatol 31:33–36, 1990; JAAD 6:107–111, 1982; due to
Microsporum canis Mycopathologica 81:41–48, 1983;
Scytalidium dimidiatum (formerly Hendersonula toruloidea) 
BJD
148:174–176, 2003
Mycobacterium abscessus 
J Clin Inf Dis 24:1147–1153, 1997
Mycobacterium avium complex 
JAAD 26:1108–1110, 1990
Mycobacterium avium-intracellulare – cervicofacial
lymphadenitis in children with fistulae 
Ped Derm 21:24–29,
2004
Mycobacterium chelonae 
J Inf Dis 166:405–412, 1992
Mycobacterium fortuitum 
Dermatol Surg 26:588–590, 2000
Mycobacterium malmoense – cervicofacial lymphadenitis in
children with fistulae 
Ped Derm 21:24–29, 2004
Mycobacterium szulgai – diffuse cellulitis, nodules, and sinuses
Am Rev Respir Dis 115:695–698, 1977
Mycobacterium tuberculosis – scrofuloderma – infected lymph
node, bone, joint, lacrimal gland with overlying red-blue nodule
which breaks down, ulcerates, forms fistulae, scarring with
adherent fibrous masses which may be fluctuant and draining
JAAD 52:S65–68, 2005; Ped Derm 20:309–312, 2003; Ped
Derm 18:328–331, 2001; BJD 134:350–352, 1996; Thorax
16:77–81, 1967
Nocardia brasiliensis – mycetoma or multiple subcutaneous
draining nodules mimicking foreign body granuloma 
Cutis
60:191–193, 1997; JAAD 13:125–133, 1985; J Inf Dis
134:286–289, 1976; mediastinal infection with draining
sternal sinus tracts 
West J Med 167:47–49, 1997; Nocardia
asteroides – mycetoma 
BJD 144:639–641, 2001
North American blastomycosis (Blastomyces dermatitidis) 
JAAD
21:1285–1293, 1989; Oral Surg Oral Med Oral Pathol 54:12–14,
1982
Osteomyelitis 
Radiology 173:355–359, 1989
Paecilomycosis
Paracoccidioidomycosis 
JAAD 31:S91-S102, 1994
Pasteurella multocida (
P. haemolytica, pneumotropica, and
ureae) – cellulitis with ulceration with hemorrhagic purulent
discharge with sinus tracts 
JAAD 33:1019–1029, 1995;
Medicine 63:133–144, 1984
Schistosomal granuloma – perianal hypertrophic plaques;
perianal fissuring; paragenital granulomas due to
S. haematobium. May have communicating sinuses and
fistulae 
Br J Vener Dis 55:446–449, 1979
Sporotrichosis – fistulae 
Derm Clinics 17:151–185, 1999
Syphilis – tabes dorsalis – callus with sinus tract of weight
bearing regions of sole 
Arch Neurol 42:606–613, 1985
Tinea capitis (T. verrucosum, T. mentagrophtes) – kerion
AD 114:371–372, 1978
Tinea corporis, invasive (T.violaceum) 
BJD 101:177–183, 1979

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