Dermatoses Mãos e pés

• Sífilis

• Eritema Multiforme

• SJS/Lyell

Dermatoses das Mãos

Vascular manifestations

• Acrodynia
• Mainly in children
• Pathognomonic for Mercury poisoning
Mercury Poisoning

Infections

• Inoculation chancres
• Mycobacteriosis, cat scratch disease, erysipeloid, syphilis, herpes, sporotrichosis

• Tularemia

• Pustules in palms and soles within 12h after birth suggests congenital candidiasis
Congenital candidiasis

Trophic disorders, malformations

• Amniotic band syndrome

• Rudimentary polydactyly

• Acro-osteolysis

• Diabetic cheiroarhropathy

Exogenous necrosis

• Pigeonhole (chrome hole)

• Cement burns

• Hydrofluoric acid burns

Dermatitis / Inflammatory

Benign Tumors and Pseudotumors

• Maffuci syndrome

• Ollier syndrome

• Acquired digital fibrokeratoma

• Phalangeal pads, pachydermodactyly

Skin and rheumatological disorders

• RSSSPE syndrome: remitting seronegative symmetrical synovitis whti pitting edema

• Multicentric histiocytosis

• Fibrobastic rheumatis,

• Mechanic’s hands
Anti Synthetase Syndrome

• Rheumatoid nodules, gouty tophy

Various dermatoses

• Palmo-digital carotendermia

• Aquagenic palmoplantar keratoderma

• Circumscribed palmar hypokeratosis

• Puffy hand syndrome (swollen hand syndrome)

• Summer peeling on the hands

Foot pathology

Vascular manifeastation

• Acute plantar ulcer

• Blue toe syndrome (purple)

Neurological menifestations

• Charcot foot

• Burning feet syndrome

Infections

• Bacterial interdigital intertrigo
Gram Negative Interdigital Infections

• Mycetoma
Mycetoma / Madura foot / maduromycosis

• Pitted keratolysis
Pitted Keratolysis

• Tungíase
Tungiasis

Dermatitis / Inflammatory

Other dermatoses

• Black heel syndrome (intracorneal hematomas, plantar pseudochromhidrosis)

• Fissured heel keratosis (fissured markinal jeratoderma of the heels, climacteric keratoderma, Haxthausen’s disease)

• Hyperkeratosis, calluses, corns

Tumors and pseudotumors

• Melanoma acrolentiginoso