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Image Number 757 (Acrodermatitis continua)

Nail dystrophy

Diagnosis: Acrodermatitis continua

Site: Fingertips

Sex: F

Age: 82

Type: Clinical

Description: Marked nail dystrophy

Submitted by: Ian McColl

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Differential Diagnosis

History: This lady has previously had psoriasis elsewhere but recently developed these lesions acrally involving the fingers and toes. There were some preceding pustules but they are not evident today. There is marked nail dystrophy. The issue is whether this is simply acral psoriasis or the more unusual variant of acrodermatitis continua of Hallopeau? Comment on this case

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