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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

242
A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 200-300.qxd 5/16/2006 6:49 PM Page 242


Horner’s syndrome – medullary infarction, syringomyelia,
multiple sclerosis, intraspinal tumors, aortic aneurysm, cervical
lymphadenopathy, surgery, regional anesthesia, tumors –
transient unilateral hyperhidrosis and vasoconstriction of the
face 
Rook p.2782, 1998, Sixth Edition
Hypertensive diencephalic syndrome – hyperhidrosis and
blotchy erythema of face and neck with salivation, tachycardia,
and sustained hypertension 
Rook p.2782, 1998, Sixth Edition
Pancoast tumor – hemifacial gustatory sweating 
Am J Med
82:1269–1271, 1987
Parotid abscess
Parotidectomy 
Acta Otolaryngol 48:234–252, 1957
Peanut butter 
Curr Ther 16:863–867, 1998
Postherpetic gustatory sweating and flushing 
Ann Neurol
21:559–563, 1987
Spicy food 
Curr Ther 16:863–867, 1998
Submental gustatory sweating 
Rook p.1994–1995, 1998, Sixth
Edition
Sympathetic nerves damage of head and neck 
Rook
p.1994–1995, 1998, Sixth Edition
Syringomyelia
Thoracic sympathectomy
Trauma 
J Oral Surg 35:306–308, 1977
Vagus nerve-induced gustatory sweating of upper arm after
cervical sympathectomy 
Br Med J I:688–689, 1958
Paroxysmal idiopathic localized hyperhidrosis
Localized hyperhidrosis associated with central nervous system
disease, peripheral neuropathy, stroke, trauma, syringomyelia,
tabes dorsalis, cervical rib, vertebral osteoma, mesothelioma,
lung cancer
ASSOCIATIONS
Acrodynia – mercury poisoning – butterfly rash, flushing,
perspiration of face, palmar erythema 
JAAD 45:966–967, 2001
Acro-osteolysis associated with spinal dysraphism –
hyperhidrosis of the affected limb 
Ped Derm 18:97–101, 2001
Adjacent to area of anhidrosis 
Rook p.1993, 1998, Sixth Edition
Angioblastoma (Nakagawa) 
BJD 143:223–224, 2000
Around leg ulcer (axon reflex stimulation) 
Rook p.1993, 1998,
Sixth Edition
Blue rubber bleb nevus (vascular malformation) 
AD
137:1241–1246, 2001; Rook p.1993, 1998, Sixth Edition; AD
116:924–929, 1996
Book syndrome – autosomal dominant; palms and soles
hyperhidrotic – aplasia of premolar teeth, premature graying
(canities) 
Am J Hum Genet 2:240–263, 1950
Bronchial carcinoma – with pleural spread – unilateral thoracic
hyperhidrosis 
Br Med J 2 (6035):563, 1976
Buerger’s disease 
AD 137:1241–1246, 2001
Burning feet syndrome (Gopalan’s syndrome) 
Carcinoid syndrome
Causalgia
Charcot–Marie Tooth syndrome
Chilblains 
Ghatan p.247, 2002, Second Edition
Compensatory hyperhidrosis, after thoracic sympathectomy
Lancet 351:1136, 1998
Eccrine nevus – skin-colored papules, brown papules, depressed
brown patches, perianal skin tag, solitary pore, draining mucoid
material; localized unilateral hyperhidrosis 
JAAD 51:301–304,
2004; Clin Exp Derm 22:246–247, 1997; Cutis 53:259–261, 1994;
JAAD 27:115, 1992; nevus sudoriferus – area of increased sweat
production 
AD 96:67–68, 1967
Eccrine angiomatous nevus (hamartoma) – vascular nodule;
macule, red plaque, acral nodule of infants or neonates;
painful, red, purple, blue, yellow, brown, skin-colored nodule
or plaque 
Ped Derm 22:175–176, 2005; JAAD 51:301–304,
2004; Cutis 71:449–455, 2003; JAAD 47:429–435, 2002; Ped
Derm 18:117–119, 2001; JAAD 37:523–549, 1997; Ped
Derm 14:401–402, 1997; Ped Derm 13:139–142, 1996;
AD 129:105–110, 1993; skin-colored nodule with blue papules
JAAD 41:109–111, 1999; blue plaque or nodule Dermatologica
155:206–209, 1977
Eccrine pilar angiomatous hamartoma 
AD 137:1241–1246, 2001
Emotional – palmoplantar and axillary
Encephalitis 
Ghatan p.247, 2002, Second Edition
Epidermolysis bullosa – recessive
Erythrocyanosis 
Ghatan p.247, 2002, Second Edition
Fibrous hamartoma of infancy – eccrine sweating over lesion;
hairy plaque on arm 
JAAD 41:857–859, 1999
Focal palmoplantar and oral mucosa (gingival) hyperkeratosis
syndrome (MIM:148730) (hereditary painful callosities) –
palmoplantar keratoderma with hyperhidrosis, leukoplakia
(gingival keratosis), and cutaneous horn of the lips 
JAAD
52:403–409, 2005; BJD 146:680–683, 2002; Oral Surg 50:250,
1980; Birth Defects 12:239–242, 1976; Arch Int Med
113:866–871, 1964
Frostbite 
Ghatan p.247, 2002, Second Edition
Glomus tumors 
AD 137:1241–1246, 2001; Rook p.1993, 1998,
Sixth Edition; JAAD 41:109–111, 1997; hyperhidrosis may
precede appearance of glomus on a limb 
Ped Derm
19:402–408, 2002
Gopalan’s syndrome 
AD 137:1241–1246, 2001
Granulosis rubra nasi – erythema of tip of nose, upper lip, chin;
telangiectasias, small cysts 
Ann DV 123:106–108, 1996; Cutis
10:463, 1972
Heat 
Curr Ther 16:863–867, 1998
Herpes zoster 
Ghatan p.247, 2002, Second Edition
Hyperhidrotic malformations 
JAAD 29:274–275, 1993
Hyperthyroidism – palms and soles 
JAAD 26:885–902, 1992
Ichthyosis bullosa of Siemens – mutation of keratin 2e;
superficial blistering of flexures, shins, abdomen with annular
peeling; gray rippled hyperkeratosis of extrexities, lower trunk,
flexures; hypertrichosis; circumscribed patchy scaling
(mauserung); palmoplantar blistering with hyperhidrosis
BJD 140:689–695, 1999; JID 103:277–281, 1994;
JAAD 14:1000–1005, 1986
Idiopathic unilateral hyperhidrosis 
Arch Dermatol Syphilol
51:370–372, 1945
Iron deficiency 
Ann Clin Biochem 32:509–510, 1995
Jadassohn–Lewandowsky syndrome 
Ghatan p.248, 2002,
Second Edition
Jakac–Wolf syndrome – palmoplantar keratoderma with
squamous cell carcinoma, gingival dental anomalies,
hyperhidrosis 
JAAD 53:S234–239, 2005
Klippel–Trenaunay–Weber syndrome 
Cutis 60:127–132, 1997
Localized hyperhidrosis on the backs of the hands 
JAAD
12:937–942, 1985
Localized paroxysmal hyperhidrosis 
Am J Med Sci 221:86–88,
1951
Maffucci’s syndrome – angiomatous lesion with hyperplastic
sweat glands

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