Acrodermatitis chronica atrophicans history and symptoms: Difference between revisions

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{{CMG}}; {{AE}} {{RT}}
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==History==
==History and Symptoms==
* A history of a recent [[tick bite]] should be inquired about.
==Symptoms==
* The [[rash]] caused by ACA is most evident on the extremities or limbs beginning with an [[inflammatory]] stage with bluish red discoloration and cutaneous [[swelling]] and concluding several months or years later with an atrophic phase. [[Sclerosis|Sclerotic]] skin plaques may also develop.


* As ACA progresses the skin begins to [[wrinkle]].
 
===History===
The following are some of the common findings in [[patients]]' history:<ref name="pmid3577484">{{cite journal| author=Asbrink E, Hovmark A, Olsson I| title=Clinical manifestations of acrodermatitis chronica atrophicans in 50 Swedish patients. | journal=Zentralbl Bakteriol Mikrobiol Hyg A | year= 1986 | volume= 263 | issue= 1-2 | pages= 253-61 | pmid=3577484 | doi=10.1016/s0176-6724(86)80128-6 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3577484  }} </ref><ref name="pmid6084922">{{cite journal| author=Asbrink E, Hovmark A, Hederstedt B| title=The spirochetal etiology of acrodermatitis chronica atrophicans Herxheimer. | journal=Acta Derm Venereol | year= 1984 | volume= 64 | issue= 6 | pages= 506-12 | pmid=6084922 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6084922  }} </ref>
*[[Tick bite]]
**Since there could be several years between the [[tick]] [[bite]] and development of [[skin]] lesions, absence of [[tick]] [[bite]] in [[patients]]' history is not meaningful alone.
*[[Erythema Migrans|erythema migrans]]
**Some of the [[patients]] in a study experienced [[Erythema Migrans|erythema migrans]] 6 months to 8 years before [[acrodermatitis chronica atrophicansis]] development.
**[[neurology|Neurological]] [[symptoms]]
**[[rheumatology|Rheumatological]] [[symptoms]]
 
 
===Symptoms===
*It usually involves [[Extension (kinesiology)|extensor surfaces]] of the [[Limb (anatomy)|acral regions of limbs]] beginning with an [[inflammatory]] stage (bluish red discoloration and [[edema]] followed by an atrophic phase. [[Sclerosis|Sclerotic]] [[skin]] plaques may also develop.
*[[Acrodermatitis chronica atrophicans]] can progress and cause [[wrinkle]].
*The following are [[symptoms]] have been observed in [[acrodermatitis chronica atrophicans]]:<ref name="pmid3577484">{{cite journal| author=Asbrink E, Hovmark A, Olsson I| title=Clinical manifestations of acrodermatitis chronica atrophicans in 50 Swedish patients. | journal=Zentralbl Bakteriol Mikrobiol Hyg A | year= 1986 | volume= 263 | issue= 1-2 | pages= 253-61 | pmid=3577484 | doi=10.1016/s0176-6724(86)80128-6 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3577484  }} </ref>
**[[Joint]] deformities
**Sclerotic [[skin]] lesions
**[[Pain]]
**[[Edema]]


==References==
==References==

Revision as of 12:47, 3 June 2021

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2] Raviteja Guddeti, M.B.B.S. [3]

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History and Symptoms

History

The following are some of the common findings in patients' history:[1][2]


Symptoms

References

  1. 1.0 1.1 Asbrink E, Hovmark A, Olsson I (1986). "Clinical manifestations of acrodermatitis chronica atrophicans in 50 Swedish patients". Zentralbl Bakteriol Mikrobiol Hyg A. 263 (1–2): 253–61. doi:10.1016/s0176-6724(86)80128-6. PMID 3577484.
  2. Asbrink E, Hovmark A, Hederstedt B (1984). "The spirochetal etiology of acrodermatitis chronica atrophicans Herxheimer". Acta Derm Venereol. 64 (6): 506–12. PMID 6084922.

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