You are here

Article Text

Article menu
Download PDFPDF
Dermatophile
Handy paediatric dermatology
  1. Enrico Valerio1,
  2. Francesca Parata2,
  3. Mario Cutrone3
  1. 1Pediatric Intensive Care Unit, Ospedale San Bortolo, Vicenza, Italy
  2. 2Pediatrics Department, Ospedale Dell'Angelo, Mestre (Venice), Italy
  3. 3Pediatric Dermatology Unit, Ospedale Dell'Angelo, Mestre (Venice), Italy
  1. Correspondence to Dr Enrico Valerio, Pediatric Intensive Care Unit, Ospedale San Bortolo, Vicenza 35128, Italy; enrico.valerio.md{at}gmail.com

https://doi.org/10.1136/archdischild-2016-312358

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    Dermatological hand signs are common and can be benign (with or without treatment implications), linked to a change in patient's behaviour or herald more severe systemic conditions (dermatomyositis). Despite the peculiarity of underlying diseases, their visual appearances may overlap and sometimes be deceptive. It is therefore important for clinicians to be aware of the possible similarities in such diverse conditions, in order to make a correct diagnosis and target treatment.

    Which would be the most likely diagnosis for each image based on the cases below:

    1. Gottron's papules

    2. Psoriasis

    3. Cutaneous T-cell lymphoma

    4. Chewing pads

    5. Knuckle calluses

    6. Herpetic lesions

    7. Idiopathic/familial knuckle pads

    8. Cold burns (frost bites)

    9. Common warts

    10. Occupational lesions

    Patient 1

    We evaluated a 17-year-old girl with dark phototype with an upper respiratory tract infection. Physical examination incidentally revealed plaque lesions located only at the extensor surface of her right hand, at the proximal interphalangeal joints (IJ) (figure 1A). Left hand was unharmed. The rest of the examination, apart from the concomitant respiratory infection, was negative. The girl also reported a recent school change as a current stressor.

    Figure 1

    (A) Self-induced ‘chewing pads’, (B) Gottron’s papules, …

    View Full Text

    Footnotes

    • Contributors EV wrote the first draft of the manuscript; FP contributed to the critical revision of the manuscript; MC obtained the iconographic documentation and contributed to the critical revision of the manuscript.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Patient consent Obtained.