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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

686
A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 600-722.qxd 5/16/2006 6:51 PM Page 686


Leishmaniasis – verrucous form of legs;
BJD 151:1165–1171,
2004; JAAD 51:S125–128, 2004; JAAD 48:893–896, 2003;
JAAD 27:227–231, 1992; leishmaniasis recidivans (lupoid
leishmaniasis) – brown–red or brown–yellow papules close
to scar of previously healed lesion; resemble lupus vulgaris;
may ulcerate or form concentric rings; keloidal form, extensive
psoriasiform dermatitis 
Rook p.1414, 1998, Sixth Edition;
espundia (mucocutaneous leishmaniasis) – facial edema,
erythema, verrucous plaques, dermatitis, edema of lips
Rook p.1418, 1998, Sixth Edition; Am J Trop Med Hyg
59:49–52, 1998; post-kala-azar dermal leishmaniasis
BJD 143:136–143, 2000
Leprosy 
BJD 131:747–748, 1994; Ind J Lepr 64:183–187, 1992
Lobomycosis 
Int J Derm. 32:324–332, 1993
Malignant pyoderma
Molluscum contagiosum in AIDS 
JAAD 27:943–950, 1992
Mycetoma
Fungi
Cladophialophora bantiana 
JAAD 52:S114–117, 2005
Exophiala jeanselmei
Madurella mycetomatis
M. grisea (New World) 
Leptosphaeria senegalensis
Pyronochaeta romeroi
Curvularia lunulata
Pseudoallescheria boydii
Neotestudina rosatii
Acremonium spp.
Fusarium spp.
Dermatophytes
Aerobic actinomycetes
Actinomadura madurae
A. pelletieri
Streptomyces somalensis (Sudan and Middle East) 
Nocardia brasiliensis
N. asteroides (Central America and Mexico)
N. otitidis caviarum
Mycobacterium tuberculosis – tuberculosis verrucosa cutis;
hand (prosector’s wart), knees, ankles, buttocks; serpiginous
outline with finger-like projections; central involution and
scarring; purplish, red, brown; occasional psoriasiform plaque or
keloidal, crusting and exudation; infiltrated papillomatous
excrescences; deep papillomatous and sclerotic forms 
Ped
Derm 18:393–395, 2001; Clin Exp Dermatol 13:211–220, 1988
Atypical mycobacterial infection, including 
Mycobacterium
marinum JAAD 24:208–215, 1991; AD 134:365–370, 1998;
M. kansasii JAAD 40:359–363, 1999; JAAD 16:1122–1128,
1987; JAAD 36:497–499, 1997
Nocardiosis
North American blastomycosis – Mississippi valley; central
Kentucky is endemic area; wood debris or soil close to rivers;
primary cutaneous, pulmonary, and disseminated forms
AD 136:547, 550, 2000; Cutis 58:402–404, 1996
Orf – papillomatous stage 
Tyring p.54, 2002
Paracoccidioidomycosis (South American blastomycosis) 
Tyring
p.342, 2002; near mouth, anus, or genitalia J Clin Inf Dis
23:1026–1032, 1996
Phaeohyphomycosis – verrucous nodule
JAAD 33:309–311,
1995; Derm Clinics 17:151–185, 1999; Alternaria alternata
AD 137:815–820, 2001; subcutaneous phaeohyphomycosis –
Exophiala jeanselmei, Wangiella, Cladosporium, Bipolaris,
Alternaria AD 138:973–978, 2002; inoculation
phaeohyphomycosis
Pinta
Protothecosis 
JAAD 31:920–924, 1994; BJD 146:688–693, 2002
Pyoderma
Scabies – crusted scabies – first described in 1848 by
Danielssen and Boeck in Norway; seen in patients after renal
transplants, with systemic vasculitis, Down’s syndrome,
collagen vascular disease, corticosteroids (systemic or topical),
on immunosuppressive therapy, lymphoreticular malignancy,
tabes dorsalis, syringomyelia, parkinsonism, cerebrovascular
disease, diabetes and malnutrition, vitamin A deficiency,
Kaposi’s sarcoma, and AIDS 
Clin Exp Dermatol 17
(5):339–341, 1992; Cutis 43:325–329, 1989
Schistosomal granuloma, seen especially around vulva and
anus 
Derm Clinics 17:151–185, 1999
Serratia marcescens Cutis 66:461–463, 2000
Sporotrichosis 
JAAD 52:451–459, 2005; fixed cutaneous
sporotrichosis 
Derm Clinics 17:151–185, 1999; JAAD
25:928–932, 1991, AD 122:413–417, 1986 Ped Derm
3:311–314, 1986
Syphilis – condyloma lata in toe webs 
Cutis 57:38–40, 1996;
nodular secondary syphilis 
AD 113:1027–1032, 1997; annular
verrucous perianal dermatitis in secondary syphilis 
BJD
152:1343–1345, 2005; malignant secondary syphilis; tertiary
lues (gumma) – nodules (arcuate and circinate, psoriasiform,
granuloma annulare-like, serpiginous noduloulcerative),
gummas (which result in punched out ulcers), gummatous
infiltration of the tongue, perforation of the hard palate,
destruction of the uvula
Tinea corporis, including invasive 
Trichophyton rubrum infection
Tungiasis – verrucous plaque 
BJD 144:118–124, 2001
Tyzzer’s disease (
Bacillus piliformis) – papules JAAD
34:343–348, 1996
Varicella – chronic varicella zoster in AIDS 
Clin Exp Derm
24:346–353, 1999; JAAD 28:306–308, 1993; JAAD 27:943–950,
1992
Verrucae vulgaris 
AD 140:13–14, 2004; Tyring p.260, 2002; JAAD
43:340–343, 2000; Cutis 63:91–94, 1999; JAAD 36:850–852,
1997; large verrucae in selective IgM deficiency, immunoglobulin
deficiency with hyper-IgM; condyloma acuminata
Yaws (mother yaw) – 
Treponema pallidum subsp. pertenue;
10–13
µ
m long by 0.15
µ
m wide; replicate in 30 hours; non-
venereal; transmitted by skin contact; primarily in children;
primary lesions on feet, legs, and buttocks; Africa, Asia, South
and Central America, and Pacific Islands 
JAAD 29:519–535,
1993; Cutis 38:303–305, 1986

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