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Stéphane, 40 years old, Foot and hand lesions and desquamation in oncology
Stéphane, 40 years old, Foot and hand lesions and desquamation in oncology
Written with the participation of FDVF (Future Dermatologists and Venereologists of France) interns.
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18 respondents
Question of 1
Palmoplantar psoriasis
Wrong answer!
It was hand-foot syndrome.
Let’s rule out differential diagnoses:
The diagnosis of psoriasis can in theory be ruled out given the absence of scales and psoriasiform lesions on the rest of the tegument and the lack of a personal history of psoriasis.
The diagnosis of eczema can in theory be ruled out due to the absence of pruritus and the lack of a dermatological history.
Mycosis can in theory be ruled out given the immediate involvement of both hands and both feet with a sensation of pain.
Eczema
Wrong answer!
It was hand-foot syndrome.
Let’s rule out differential diagnoses:
The diagnosis of psoriasis can in theory be ruled out given the absence of scales and psoriasiform lesions on the rest of the tegument and the lack of a personal history of psoriasis.
The diagnosis of eczema can in theory be ruled out due to the absence of pruritus and the lack of a dermatological history.
Mycosis can in theory be ruled out given the immediate involvement of both hands and both feet with a sensation of pain.
Hand-foot syndrome
Hand-foot syndrome
It is indeed hand-foot syndrome.
Let’s rule out differential diagnoses:
The diagnosis of psoriasis can in theory be ruled out given the absence of scales and psoriasiform lesions on the rest of the tegument and the lack of a personal history of psoriasis.
The diagnosis of eczema can in theory be ruled out due to the absence of pruritus and the lack of a dermatological history.
Mycosis can in theory be ruled out given the immediate involvement of both hands and both feet with a sensation of pain.
Mycosis
Wrong answer!
It was hand-foot syndrome.
Let’s rule out differential diagnoses:
The diagnosis of psoriasis can in theory be ruled out given the absence of scales and psoriasiform lesions on the rest of the tegument and the lack of a personal history of psoriasis.
The diagnosis of eczema can in theory be ruled out due to the absence of pruritus and the lack of a dermatological history.
Mycosis can in theory be ruled out given the immediate involvement of both hands and both feet with a sensation of pain.
- Grade 1: Mild swelling, redness and tingling but they do not interfere with everyday life.
- Grade 2: Redness, swelling, bullae, and sensations of pain and burning but the patient can still walk or hold objects.
- Grade 3: The patient suffers a lot. The skin is very dry; it thickens and peels. They can no longer carry out their daily activities.
N.B: There can also be grading based on the impact on (basic/instrumental) daily activities
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