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Aedo Inostroza G, Pincheira Figueroa L, Aragón-Caqueo D, Loubies Muñoz R, Fuenzalida H, Sepúlveda A. [Translated article] Reticulate Skin Lesions: Practical Color-Based Algorithm for Initial Clinical Assessment. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:T174-T179. [PMID: 38048953 DOI: 10.1016/j.ad.2023.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 03/12/2023] [Indexed: 12/06/2023] Open
Abstract
Reticular patterns are observed in a great variety of skin diseases. While these morphologic patterns are often highly distinctive, they are seldom discussed or studied in clinical contexts or recognized as a diagnostic category in their own right. Diseases presenting with reticulate skin lesions have multiple etiologies (tumors, infections, vascular disorders, inflammatory conditions, and metabolic or genetic alterations) and can range from relatively benign conditions to life-threatening ones. We review a selection of these diseases and propose a clinical diagnostic algorithm based on predominant coloring and clinical features to aid in their initial assessment.
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Affiliation(s)
- G Aedo Inostroza
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | - L Pincheira Figueroa
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | | | - R Loubies Muñoz
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | - H Fuenzalida
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | - A Sepúlveda
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile
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Aedo Inostroza G, Pincheira Figueroa L, Aragón-Caqueo D, Loubies Muñoz R, Fuenzalida H, Sepúlveda A. Reticulate Skin Lesions: Practical Color-Based Algorithm for Initial Clinical Assessment. ACTAS DERMO-SIFILIOGRAFICAS 2024; 115:174-179. [PMID: 37276995 DOI: 10.1016/j.ad.2023.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 02/28/2023] [Accepted: 03/12/2023] [Indexed: 06/07/2023] Open
Abstract
Reticular patterns are observed in a great variety of skin diseases. While these morphologic patterns are often highly distinctive, they are seldom discussed or studied in clinical contexts or recognized as a diagnostic category in their own right. Diseases presenting with reticulate skin lesions have multiple etiologies (tumors, infections, vascular disorders, inflammatory conditions, and metabolic or genetic alterations) and can range from relatively benign conditions to life-threatening ones. We review a selection of these diseases and propose a clinical diagnostic algorithm based on predominant coloring and clinical features to aid in their initial assessment.
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Affiliation(s)
- G Aedo Inostroza
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | - L Pincheira Figueroa
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | | | - R Loubies Muñoz
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | - H Fuenzalida
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile; Servicio de Dermatología, Hospital El Pino, Santiago, Chile
| | - A Sepúlveda
- Facultad de Ciencias Médicas, Universidad de Santiago, Santiago, Chile
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Farkouh CS, Abdi P, Amatul-Hadi F, Anthony MR, Ali Khan Q, Manja K, Manja C, Ali SM. Cutaneous Manifestations of Malaria and Their Prognostic Windows: A Narrative Review. Cureus 2023; 15:e41706. [PMID: 37575836 PMCID: PMC10414550 DOI: 10.7759/cureus.41706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/11/2023] [Indexed: 08/15/2023] Open
Abstract
Malaria is a vector-borne tropical infection caused by protozoa of the genus Plasmodium and is transmitted by the bite of an infected Anopheles mosquito. The disease is commonly characterized by fever, edema, thrombocytopenia, hypoglycemia, anemia, and myalgias; however, the infection's cutaneous presentations are not commonly emphasized and tend to be overlooked. A literature search was conducted that focused on the various skin pathologies that malaria patients have been noted to present with using case reports and currently available literature. We describe the various skin manifestations associated with malaria, such as purpura fulminans, febrile urticaria, cutaneous leishmaniasis co-infections, urticaria infectiosum, vivax-induced severe thrombocytopenia petechiae, acral skin necrosis, and reticulated erythema, and how each of these skin manifestations may provide insight into the patient's prognosis. Documentation and vigilance regarding these cutaneous manifestations must be emphasized as they may lead to better patient outcomes and a stronger understanding of the patient's underlying malaria.
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Affiliation(s)
| | - Parsa Abdi
- Faculty of Medicine, Memorial University of Newfoundland, St. John's, CAN
| | | | | | - Qaisar Ali Khan
- Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK
- Internal Medicine, District Headquarter Teaching Hospital, Kohat, PAK
| | - Kyla Manja
- General Medicine, University of Pennsylvania, Philadelphia, USA
| | - Christian Manja
- General Medicine, University of Pennsylvania, Philadelphia, USA
| | - Syed Masood Ali
- Family Medicine, University of Illinois College of Medicine at Peoria, Peoria, USA
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Barsan Kaya T, Kaya Erdoğan H, Güneş D, Aydemir Ö. Livedo racemosa associated with central venous catheter use in a newborn. Pediatr Dermatol 2023; 40:148-150. [PMID: 35859318 DOI: 10.1111/pde.15098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2021] [Accepted: 07/10/2022] [Indexed: 01/25/2023]
Abstract
Livedo racemosa (LRac) refers to violaceous, red, or blue netlike mottling of the skin in an irregular pattern caused by circulatory abnormalities. Central venous catheters (CVC) are widely used in neonates who require intensive care to offer steady intravenous access. CVCs are covered with a hydrophilic polymer gel that reduces friction between the sheath and the vessel wall, thereby minimizing vascular spasm, irritation, and aneurysm formation. However, the introduction of foreign material into the vein carries a risk of embolization. Recently, LRac was reported as a cutaneous manifestation of hydrophilic polymer gel embolization (HPE) in adults. We present a case of LRac in a newborn that developed following CVC insertion and resolved spontaneously after the catheter was removed.
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Affiliation(s)
- Tuğba Barsan Kaya
- Department of Neonatology, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey
| | - Hilal Kaya Erdoğan
- Department of Dermatology, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey
| | - Damla Güneş
- Department of Neonatology, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey
| | - Özge Aydemir
- Department of Neonatology, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, Turkey
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Adya KA, Inamadar AC, Palit A. Reticulate Acropigmentation of Kitamura: A Dermoscopic Perspective. Indian Dermatol Online J 2020; 11:128-130. [PMID: 32055533 PMCID: PMC7001388 DOI: 10.4103/idoj.idoj_311_18] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
- Keshavmurthy A Adya
- Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College, Hospital and Research Center, BLDE (Deemed to be University), Vijayapur, Karnataka, India
| | - Arun C Inamadar
- Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College, Hospital and Research Center, BLDE (Deemed to be University), Vijayapur, Karnataka, India
| | - Aparna Palit
- Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
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Adya KA, Inamadar AC, Palit A. "Pitted" lesions in dermatology. Int J Dermatol 2016; 56:3-17. [PMID: 27613605 DOI: 10.1111/ijd.13358] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 01/20/2016] [Accepted: 03/20/2016] [Indexed: 11/29/2022]
Abstract
Cutaneous pitting, dimpling, or depressions are frequently dealt with in clinical practice. Such lesions may be primary manifestations of a disorder or develop as secondary changes during the course of the disease. Cutaneous pitting may be a manifestation of certain genodermatoses and internal disorders when it serves as a marker of such conditions. This article describes various types of pitted lesions affecting the ectodermal structures (skin, nails, and teeth) and their clinical significance along with brief description of the associated conditions.
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Affiliation(s)
- Keshavmurthy A Adya
- Department of Dermatology, Venereology and Leprosy, SBMP Medical College, Hospital and Research Center, BLDE University, Vijayapur, Karnataka, India
| | - Arun C Inamadar
- Department of Dermatology, Venereology and Leprosy, SBMP Medical College, Hospital and Research Center, BLDE University, Vijayapur, Karnataka, India
| | - Aparna Palit
- Department of Dermatology, Venereology and Leprosy, SBMP Medical College, Hospital and Research Center, BLDE University, Vijayapur, Karnataka, India
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Affiliation(s)
- Keshavmurthy A Adya
- Department of Dermatology, Venereology and Leprosy, SBMP Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
| | - Arun C Inamadar
- Department of Dermatology, Venereology and Leprosy, SBMP Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
| | - Aparna Palit
- Department of Dermatology, Venereology and Leprosy, SBMP Medical College, Hospital and Research Center, BLDE University, Bijapur, Karnataka, India
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