Peter Heald, Author at Clinical Advisor

Peter Heald

All articles by Peter Heald

Acrokeratosis Paraneoplastica (Bazex’s Syndrome)

Are You Confident of the Diagnosis? Characteristic findings on physical examination A typical patient will be a man over 40 years old who has red psoriasiform/scaly plaques distributed on the ears (79%), nails (75%), nose (63%), fingers (61%), hands (57%), and feet (50%). (Figure 1). A history of smoking or heavy alcohol use, which predispose…

Pityriasis Lichenoides Chronica

Are You Confident of the Diagnosis? What you should be alert for in the history Pityriasis lichenoides chronica (PLC) is rarely as symptomatic as it is alarming. When this form of parapsoriasis was being described in the literature it was grouped under the “rhythmic eruptions” due to the unexplainable eruption of multiple lesions followed by…

Pityriasis Lichenoides et Varioliformis Acuta (Mucha Habermann, Mucha-Haberman Disease, Acute Febrile Mucha-Haberman Disease)

Are You Confident of the Diagnosis? What you should be alert for in the history Pityriasis lichenoides et varioliformis acuta (PLEVA) is characterized by acute outbreaks that progress through a phase of healing to spontaneous resolution. Not only should prior outbreaks be the focus of the history but there should also be a search for…

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