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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

626
A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 600-722.qxd 5/16/2006 6:51 PM Page 626


Squamous cell carcinoma
Staphylococcus aureus Clin Inf Dis 21:433–434, 1995;
Dermatologica 178:278–80, 1989
Streptococcus pyogenes
Syphilis – extragenital chancre
Trichosporon beigelii
Tularemia – 
Franciscella tularensis; skin, eye, respiratory,
gastrointestinal portals of entry; ulceroglandular, oculoglandular,
glandular types; toxemic stage heralds generalized morbilliform
eruption, erythema multiforme-like rash, crops of red nodules on
extremities 
Medicine 54:252–269, 1985
SPOTTY PIGMENTATION
OF THE FACE
Carney complex
Cronkhite–Canada syndrome
LEOPARD syndrome
Noonan’s syndrome
Seborrheic keratoses, macular
Solar lentigines
Turner’s syndrome
STRIAE DISTENSAE
Adolescent/pubertal striae
Athletes, weight lifters
Prolonged therapy with ACTH or adrenocorticosteroids
Cushing’s syndrome/disease 
Semin Dermatol 3:287–294, 1984
Growth striae 
Ghatan p.252, 2002, Second Edition
Liver disease, chronic – lower abdomen, thighs, buttocks 
Rook
p.2725, 1998, Sixth Edition
Marfan’s syndrome – progressive striae 
Textbook of Neonatal
Dermatology, p.459, 2001; Int J Dermatol 28:291–299, 1989
Mid-dermal elastolysis 
Int J Derm 28:426, 1989
Obesity
Pregnancy
Protease inhibitors – intra-abdominal fat (‘crix belly’) (‘protease
paunch’) 
Pruritic urticarial papules and plaques of pregnancy (PUPPP) 
Rapid weight gain or loss
Topical steroid therapy, either superpotent or under occlusion
SYNDACTYLY
Aarskog syndrome (facio-digito-genital syndrome) – X-linked
recessive – anteverted nostrils, long philtrum, broad nasal
bridge; short broad hands with syndactyly, scrotal shawl (scrotal
fold which surrounds the base of the penis); skeletal defects;
learning disabilities 
J Pediatr 77:856–861, 1970
Albright’s hereditary osteodystrophy
Acrocallosal syndrome (Greig cephalopolysyndactyly
syndrome) (Greig’s polysyndactyly–cranial dysmorphism
syndrome) – abnormal upper lids, frontonasal dysostosis,
callosal agenesis, cleft lip/palate, redundant skin of neck,
grooved chin, bifid thumbs, polydactyly, syndactyly 
Am J Med
Genet 43:938–941, 1992; Am J Med Genet 32:311–317, 1989;
Clin Genet 24:257–265, 1983
Acrodental dysostosis (polydactyly, conical teeth, nail dystrophy,
short limbs) 
Birth Defects 15:253–263, 1979
Acrodermatitis continua of Hallopeau 
BJD 152:1083–1084, 2005
Acro-fronto-facio-nasal dysostosis 
Am J Med Genet
20:631–638, 1985
Acro-renal complex
Adams–Oliver syndrome 
Bolognia p.930, 2003
Albright’s hereditary osteodystrophy
Amnion rupture malformation sequence (amniotic band
syndrome) – congenital ring constrictions and intrauterine
amputations; secondary syndactyly, polydactyly; distal
lymphedema 
JAAD 32:528–529, 1995; Am J Med Genet
42:470–479, 1992; Cutis 44:64–66, 1989
Ankyloblepharon–ectrodactyly–cleft lip/palate syndrome
(AEC syndrome) 
Apert’s syndrome (acrocephalosyndactyly) – craniosynostosis,
mid-facial malformations, symmetrical syndactyly; severe acne
vulgaris; mutation of fibroblast growth factor receptor-2 
AD
102:381–385, 1970; Ann Hum Genet 24:151–164, 1960; Bull
Soc Med Hop (Paris) 23:1310–1330, 1906
Aplasia cutis congenita type II – scalp ACC with associated limb
anomalies; hypoplastic or absent distal phalanges, syndactyly,
club foot, others 
Ped Derm 19:326–329, 2002
Auralcephalosyndactyly 
J Med Genet 25:491–493, 1988
Autosomal recessive blepharophimosis, ptosis, V-esotropia,
syndactyly, and short stature 
Clin Genet 41:57–61, 1992
Autosomal recessive ectodermal dysplasia with corkscrew
hairs, pili torti, syndactyly, keratosis pilaris, onychodysplasia,
dental abnormalities, conjunctival erythema, palmoplantar
keratoderma, cleft lip or palate, and mental retardation 
JAAD
27:917–921, 1992
Bannayan–Riley–Ruvalcaba–Zonana syndrome (PTEN
phosphatase and tensin homolog hamartoma) – dolicocephaly,
frontal bossing, macrocephaly, ocular hypertelorism, long
philtrum, thin upper lip, broad mouth, relative micrognathia,
lipomas, penile or vulvar lentigines, facial verruca-like or
acanthosis nigricans-like papules, multiple acrochordons,
angiokeratomas, transverse palmar crease, accessory nipple,
syndactyly, brachydactyly, vascular malformations,
arteriovenous malformations, lymphangiokeratoma, goiter,
hamartomatous intestinal polyposis
JAAD 53:639–643, 2005
Bart’s syndrome with germ line mosaicism
Bowen–Armstrong syndrome – ectodermal dysplasia,
syndactyly, mental retardation, autosomal recessive 
Clin Genet
9:35–42, 1976
Burns 
BJD 152:1083–1084, 2005
C syndrome (Opitz trigonocephaly syndrome) 
Birth Defects
5:161–166, 1969
Carpenter’s syndrome 
Klin Pediatr 189:120, 1977
Cenani–Lenz syndactyly syndrome
CHARGE syndrome – syndactyly, short stature, coloboma of
the eye, heart anomalies, choanal atresia, somatic and mental
retardation, genitourinary abnormalities, ear anomalies, primary
lymphedema 
Ped Derm 20:247–248, 2003; J Med Genet
26:202–203, 1989
Cleft lip/palate – ectodermal dysplasia 
Bolognia p.930, 2003
Cleft lip-palate, mental and growth retardation, sensorineural
hearing loss, and postaxial polydactyly 
Syndromes of the Head
and Neck, p.772, 1990
Cleft lip-palate, preaxial and postaxial polydactyly of hands and
feet, congenital heart defect, and genitourinary anomalies
Syndromes of the Head and Neck, p.751, 1990

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