tag:blogger.com,1999:blog-9870114.post690829847920450447..comments2024-03-10T08:41:32.400+00:00Comments on VIRTUAL GRAND ROUNDS IN DERMATOLOGY 2.0: An Orphan PatientHumane Medicine Huihttp://www.blogger.com/profile/07113291188306363130noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-9870114.post-66539188978167915292011-01-03T02:55:21.300+00:002011-01-03T02:55:21.300+00:00Was biopsy done? I lean toward psoriasis or spong...Was biopsy done? I lean toward psoriasis or spongiotic dermatitis. I really doubt tinea.Dr. Stephen Stonehttps://www.blogger.com/profile/11999118015030901461noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-90120609600245448862010-03-05T14:19:50.135+00:002010-03-05T14:19:50.135+00:00I agree with the possiblity of Psoriasis. Biopsy m...I agree with the possiblity of Psoriasis. Biopsy may be fruit full.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9870114.post-57371789053547790212010-03-04T16:41:15.579+00:002010-03-04T16:41:15.579+00:00I think it is psoriasis and needs neotigison cours...I think it is psoriasis and needs neotigison course of therapy<br />khalifa sharquieAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9870114.post-91198174956072890342010-03-04T14:19:53.198+00:002010-03-04T14:19:53.198+00:00Tinea pedis is unlikely - with such an extensive f...Tinea pedis is unlikely - with such an extensive feet involvement for so many years other body parts like groins, hands, nails are often affected.<br />Keratoderma - it looks too inflammatory and late onset for keratodermas.<br />Dermatitis (dyshidrosis)- unusual to get localized to feet with no hands involvement over years, distribution and morphology of lesions not classical<br /><br />Mycosis fungoides - symmetrical itchy lesions over feet are unusual<br /><br />I will keep psoriasis as possiblity, consider doing biopsy, look for signs of disease in other body parts (hidden spots) and treat accordingly.Dr. Sunil Dogra, Chandigarh, Indiahttps://www.blogger.com/profile/13383852174199966772noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-55893294840599062872010-03-04T11:07:42.875+00:002010-03-04T11:07:42.875+00:00I would do a KOH test to exclude dermatophyte infe...I would do a KOH test to exclude dermatophyte infection. The site for the KOH is important to reduce false negative results.I usually choose interdigital web space and edge of the lesions.<br /><br />I think in this case tinea pedis is however unlikely - for such extensive lesions the nails appeared uninvolved.<br /><br />Consider hyperkeratotic eczema, plantar psoriasis or keratoderma.<br /><br />Start him on oral acetretin, moisturisers, superpotent corticosteroid ointments and perhaps propylene glycol as well. Avoid all trigger or aggravating factors. Good luck!!Henry Foonghttps://www.blogger.com/profile/02804592640968503188noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-78297362497284513672010-03-04T11:03:01.927+00:002010-03-04T11:03:01.927+00:00pictures show definitive borders suggestive of tin...pictures show definitive borders suggestive of tinea pedis with fissures in the heel gives a psoriasiform look.would wait for the culture and then proceed with a biopsy .<br />Is there any h/o atopy?Unknownhttps://www.blogger.com/profile/04814504803905843707noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-23833806329726266452010-03-04T01:16:29.750+00:002010-03-04T01:16:29.750+00:00The distribution of the dermatitis is reminiscent ...The distribution of the dermatitis is reminiscent of “shoe dermatitis,” a contact allergic dermatitis secondary to chemicals used in the manufacture of modern footwear. Brian Maurer. (DJE attached the article I found to the Reference section)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9870114.post-56415933959565119612010-03-04T00:17:14.909+00:002010-03-04T00:17:14.909+00:00I think biopsy is worthy to try. Sometimes unexpec...I think biopsy is worthy to try. Sometimes unexpected things happen.<br />It can be psoriasis, localized palmoplanter mycosis fungoides.<br /><br />Thank you <br />Khalid Al Hawsawi<br />Toronto, CanadaUnknownhttps://www.blogger.com/profile/17069607657791001873noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-30784399621411636052010-03-03T22:44:36.937+00:002010-03-03T22:44:36.937+00:00It still looks like tinea to me. If KOH preps are ...It still looks like tinea to me. If KOH preps are negative, you might consider a biopsy for a PAS stain.Amit Pandyanoreply@blogger.com