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A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1



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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

196
A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 100-200.qxd 5/16/2006 6:49 PM Page 196


Parinaud’s oculoglandular fever – leptospirosis, cat scratch
disease, tuberculosis
Parvovirus B19 – erythema infectiosum
Phlebotomus sandfly fever
Pediculosis capitis – conjunctivitis 
JAAD 50:1–12, 2004
Pediculosis pubis 
The Clinical Management of Itching;
Parthenon; p.55, 2000
Pinta
Red tide dermatitis with conjunctivitis – 
Gymodinium breve
(dinoflagellate) 
Relapsing fever (tick-borne relapsing fever) – Ornithodoros soft
ticks transmitting 
Borrelia hermsii, B.turicata, or B. parkeri;
1–2 cm rose-colored macules, papules, petechiae, purpura,
facial flushing; arthralgias, iritis, myalgia 
JAAD 49:363–392,
2003; diffuse macular rash Tyring p.438, 2002
Rhinosporidiosis – conjunctivitis and eversions of eyelid 
Rook
p.1360, 1998, Sixth Edition; Arch Otolaryngol 102:308–312, 1976
Rocky Mountain spotted fever and other rickettsioses
Roseola infantum
Rubella – conjunctivitis 
Tyring p.3,522–523, 2002; Rook p.998,
1998, Sixth Edition
Rubeola 
Tyring p.405, 2002; Rook p.2999, 1998, Sixth Edition
Salmonella typhimurium – erythema nodosum and conjunctivitis
Scand J Infect Dis 20:221–223, 1988
Schistosomal granuloma – ectopic granuloma of conjunctiva
Rook p.1398, Sixth Edition; Dermatol Clin 7:291–300, 1989
Scrub typhus (
Rickettsia tsutsugamuchi ) (mites) – headache
and conjunctivitis; eschar with black crust; generalized macular
or morbilliform rash 
JAAD 2:359–373, 1980
Smallpox
Smallpox vaccination – vaccinia keratitis 
Clin Inf Dis
37:251–271, 2003
Sparganosis – 
Spirometra mansonoides – conjunctivitis Derm
Clinics 17:151–185, 1999
Spiders – wolf spider (
Lycosa species) spitting venom JAAD
44:561–573, 2001
Staphylococcal blepharitis with associated conjunctivitis 
Arch
Ophthalmol 95:812–816, 1977
Staphylococcal scalded skin syndrome
Subacute bacterial endocarditis
Syphilis, secondary – iris roseata; congenital – interstitial
keratitis, iridocyclitis, choroidoretinitis, uveitis; syphilitic iritis
occurs in 5% of patients with syphilis 
Rook p.1255,3007, 1998,
Sixth Edition; Presse Med 19:369–371, 1990; JAAD 18:423–428,
1988; posterior uveitis Clin Inf Dis 32:1661–1673, 2001
Tarantula hairs – New World tarantula flicks urticating hairs from
the dorsal abdomen giving ophthalmia nodosa (‘tarantula eyes’)
Arch Ophthalmol 117:1096–1097, 1999; South Med J
91:565–567, 1998; Arch Dis Child 75:462–463, 1996
TORCH syndrome – congenital glaucoma with conjunctival
hyperemia 
Textbook of Neonatal Dermatology, p.484, 2001
Toxic shock syndrome, either streptococcal or staphylococcal –
widespread macular erythema, scarlatiniform, and
papulopustular eruptions; occasional vesicles and bullae;
edema of hands and feet; mucosal erythema with conjuntival
erythema; second week morbilliform or urticarial eruption
occurs with desquamation at 10–21 days 
JAAD 39:383–398,
1998; Rev Infect Dis 11 (Suppl 1):S1–7, 1989; JAAD 8:343–347,
1983; Staphylococcus aureus MMWR 46:492, 1997
Toxocariasis – (
Toxocara canis, T. cati, T. leonensis) visceral
larva migrans – ocular granuloma 
Surv Ophthalmol
28:361–381, 1984
Toxoplasmosis, congenital (iridocyclitis) 
JAAD 12:697–706,1985
Trichinosis – periorbital edema, chemosis (conjunctivitis)
NEJM 351:487, 2004; transient morbilliform eruption, splinter
hemorrhages 
Can J Public Health 88:52–56, 1997; Postgrad Med
97:137–139, 143–144, 1995; South Med J 81:1056–1058, 1988
Trypanosomiasis, American – Romana’s sign
Tularemia, oculoglandular – conjunctivitis 
Photodermatology
2:122–123, 1985
Typhoid fever
Typhus (louse, flea, tick) 
Vaccinia – conjunctival autoinoculation 
MMWR 52:180–181,
191, 2003; Tyring p.47, 2002
Varicella
Verruca vulgaris – conjunctivitis or keratitis 
Tyring p.265, 2002;
Arch Ophthalmol 42:365–372, 1949
Viral hemorrhagic fevers – including Argentine hemorrhagic
fever, Bolivian hemorrhagic fever, Lassa fever (arenavirus) –
morbilliform or petechial rash with conjunctivitis 
J Infect Dis
155:445–455, 1985; Venezuelan hemorrhagic fever, hemorrhagic
fever with renal syndrome (Hanta virus), Congo-Crimean-Congo
hemorrhagic fever (conjunctival injection) 
Tyring p.425,440,
2002; Kyasanur Forest disease (Flavivirus) – conjunctival
injection; hemorrhagic exanthem, papulovesicular palatine
lesions 
Tyring p.444,486, 2002; Omsk hemorrhagic fever, Rift
Valley fever – conjunctivae injected 
Tyring p.444, 2002; yellow
fever, dengue fever, Ebola or Marburg virus infection 
Dermatol
Clinics 17:29–40, 1999
Viral syndrome with conjunctivitis
Whipple’s disease
Yaws

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