Diagnosis: Acrodermatitis Continua of Hallopeau
This a localised pustular psoriasis, which involves periungual skin and produce nail dystrophy.
This a localised pustular psoriasis, which involves periungual skin and produce nail dystrophy.
Submitted by Alaa Saad. Originally posted October 15, 2010.
See case discussion.
• Chronic paronychia • Psoriasis (pustular) • Contact dermatitis • Herpetic whitlow • Dyshidrotic eczema • Tinea unguium
• Also known as acrodermatitis continua of Hallopeau — considered a variant of pustular psoriasis • Sterile pustules on distal fingers/toes, especially nail folds and nail bed • Progressive nail destruction and osteolysis of distal phalanx can occur • Chronically relapsing and highly treatment-resistant • May evolve into generalized pustular psoriasis • IL-36 receptor antagonist (spesolimab) and anti-IL-17 showing promise in treatment
Tags: acrodermatitis, continua, hallopeau, alaa saad