Intricate Palpable Lesions




(1)
Hôpital Universitaire de Strasbourg, Strasbourg, France

 




Abstract

The association between erythematous lesions and scaling/desquamation is very common in many skin disorders (i.e., erythematous macules, papules and/or plaques, associated with scales). The causes of these lesions are quite numerous, as illustrated in Table 39.1. The various types of scaling are described in Chap. 41.


The association between erythematous lesions and scaling/desquamation is very common in many skin disorders (i.e., erythematous macules, papules and/or plaques, associated with scales). The causes of these lesions are quite numerous, as illustrated in Table 39.1. The various types of scaling are described in Chap.​ 41.


Table 39.1
Main causes of scaly erythematous lesions


































































Type of lesion

Main causes

Non-excoriated lesions

Predominance of papules

Hailey-Hailey disease

Impetigo

Lichen planus

Langerhans cell histiocytosis

Lymphomatoid papulosis

Mammary and extramammary Paget’s disease

Necrolytic migratory erythema: glucagonoma syndrome, acrodermatitis enteropathica, and other deficiency dermatoses

Nummular dermatitis

Pityriasis lichenoides

Pityriasis rosea (of Gibert)

Psoriasis (guttate)

Secondary syphilis

Viral exanthemas (scaling often secondary: measles, rubella, etc.)

Predominance of plaques

Bazex syndrome (acrokeratosis paraneoplastica)

Darier’s disease

Dermatophytosis (all sites)

Skin cancers (superficial basal cell carcinoma, Bowen’s disease)

Dermatomyositis

Ichthyosis (all types)

Keratosis lichenoides

Lichen striatus

Linear verrucous nevus

Lupus erythematosus

Mycosis fungoides (and other variants: Woringer-Kolopp and Ketron-Goodman diseases)

Paraneoplastic dermatosis characterized by scaly erythematous lesions

Parapsoriasis (small and large plaque)

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Oct 6, 2016 | Posted by in Dermatology | Comments Off on Intricate Palpable Lesions

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