A Case of Acrodermatitis Continua of Hallopeau Limited to the Right Thumb

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  • UTSUMI Daisuke
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • NAKAMURA Ikumi
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • YAMAGUCHI Sayaka
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • MATORI Shigetaka
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • MIYAGI Takuya
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • KARIYA Yoshiyuki
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • TAKAHASHI Kenzo
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus
  • UEZATO Hiroshi
    Department of Dermatology, Graduate School of Medicine, University of the Ryukyus

Bibliographic Information

Other Title
  • 右拇指にのみ皮膚病変が限局した Hallopeau 稽留性肢端皮膚炎の 1 例
  • 症例 右拇指にのみ皮膚病変が限局したHallopeau稽留性肢端皮膚炎の1例
  • ショウレイ ウボシ ニ ノミ ヒフ ビョウヘン ガ ゲンキョク シタ Hallopeauケイリュウセイシタン ヒフエン ノ 1レイ

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Abstract

A 74 year-old-man presented with a 5-year history of nail dystrophy with recurrence of subungual pustules on the distal portion of his right thumb. He had been misdiagnosed as tinea unguium and treated with topical and oral antifungal agents without any improvement. He was referred to our outpatient center and showed erythema, crusting, swelling, subungual pustules and nail dystrophy that was limited to his right thumb. Culture and microscopic examination for bacteria and fungi of the nail were performed several times, but no causative agent was observed. The histological examination of biopsy specimens showed hyperkeratosis, parakeratosis, regular elongation of rete ridges and Kogoj's microabsecces, and the patient was diagnosed as acrodermatitis continua of Hallopeau. Topical treatment with clobetasol propionate and calcipotriol improved his nail dystrophy, and the subungual pustules had disappeared after four month. We analyzed 17 cases of acrodermatitis continua of Hallopeau reported in Japan since 1984, including our case. Of the 17 cases, 10 cases were observed with nail dystrophy limited to only one finger at the onset, and it is suggested that such localized cases are not rare.

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 75 (4), 304-308, 2013

    Western Division of Japanese Dermatological Association

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