Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
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SHR Neuro Krebs Kardio Lipid Stoffw Microb
Binder, B; Kerl, H; Mullegger, RR.
Differential diagnosis of acrodermotitis chronica atrophicans with emphasis on chronic venous insufficiency
PHLEBOLOGIE. 2004; 33: 191-198.
Doi: 10.1055/s-0037-1621560
Web of Science
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- Führende Autor*innen der Med Uni Graz
- Binder Barbara
- Co-Autor*innen der Med Uni Graz
- Kerl Helmut
- Muellegger Robert
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- Abstract:
- Aim, patients: In this study, 221 patients with serologically and histopathologically proven acrodermatitis chronica atrophicans, the characteristic cutaneous manifestation of late Lyme borreliosis, were retrospectively analyzed regarding their primary diagnosis and management. Results: We found that the correct diagnosis was primarily mode in only 40/221 patients (18%). In the other patients, the disease was misdiagnosed or not recognized for a median time of nine months by physicians of various specialties (incl. dermatology). The most frequent misdiagnosis was chronic venous insufficiency (46/221 patients; 21%). Under the suspicion of many other diseases, local or systemic therapies inappropriate for acrodermatitis chronica atrophicans were administered or the patients were not treated at oil. Conclusion: Acrodermatitis chronica atrophicans should always be considered as diagnosis in case of bluish-red skin changes with or without swelling and/or skin atrophy (in particular on the lower extremities), which are typical for this infectious disease. Prompt diagnosis and therapy of acrodermatitis chronica atrophicans are important to avoid late sequelae.
- Find related publications in this database (Keywords)
- acrodermatitis chronica atrophicans
- differential diagnoses
- chronic venous insufficiency