Acrodermatitis Continua

Reviewed 06/2018
 


BASICS

  • Classified as a noninfectious neutrophilic dermatosis and variant of pustular psoriasis; acropustular eruption with a predilection for distal digits characterized by sterile pustules; early nai...

DIAGNOSIS

  • Defined by clinical evolution and histopathologic features

  • Frequently missed, often a diagnosis of exclusion

HISTORY

  • Onset, including any triggering event

  • Duration of eruption, previous episodes

  • ...

TREATMENT

  • Due to the rarity of this disease, only expert opinion and case reports are available to guide treatment recommendations.

  • Notoriously refractory to treatment, including topical and systemic a...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Long-term management by a dermatologist 

PROGNOSIS

  • Generally persistent, chronically relapsing course

  • May lead to severe disability or complications warranting hospi...

REFERENCES

Sugiura K. The genetic background of generalized pustular psoriasis: IL36RN mutations and CARD14 gain-of-function variants. J Dermatol Sci.  2014;74(3):187–192.  [View Abstract]
Abbas...

CODES

ICD10

L40.2 Acrodermatitis continua 

ICD9

696.1 Other psoriasis 

SNOMED

  • 200976008 Acrodermatitis continua (disorder)

  • 83839005 Acrodermatitis continua of Hallopeau

  • 58143000 Localized acrodermatitis cont...

CLINICAL PEARLS

  • Rare variant of pustular psoriasis that preferentially affects the fingers and toes, often leading to significant pain and loss of function

  • Diagnosis typically made by punch biopsy, is ...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×