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Eponyms

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There seem to be countless eponyms in dermatology and medicine in general. They are the hardest diseases to remember because the names mean nothing (they are not at all descriptive of the disease).  Many are listed here.  It is useful to see multiple diseases (or signs) named after the same person juxtaposed (this may help you remember them).

 

 

Auspitzs signwhen slight scratching of scaly lesion reveals punctate bleeding. This suggests psoriasis but is not specific

 

Blaschko’s Lines do not correspond to any known neurologic or vascular structure; probably represent the migration tracks of clones of genetically identical cells (therefore, may make one think of a mosaic phenotype of a genetic defect)        

 

pustular psoriasis of the Barber type pustulosis palmaris et plantaris        

 

Bazex syndromeAKA acrokeratosis paraneoplastica; a symmetric psoriasiform eruption that occurs in patients with tumors of the upper respiratory and digestive tracts

 

Borst-Jadassohn phenomenon: a term used to describe the presence of sharply defined nests of morphologically different cells within the epidermis; may be seen in seborrheic keratosis (clonal variant), hidroacanthoma simplex, and some cases of Bowen’s disease        

 

giant condyloma of Buschke and Lowenstein: verrucous carcinoma sub-type occurring on the glans penis        

 

Buschke-Ollendorf syndrome: Dermatofibrosis lenticularis disseminata and osteopoikilosis
       

 

Cockaynes syndromeAKA dwarfism with retinal atrophy and deafness;   large (Mickey mouse) hands and feet

 

Crowes signaxillary freckling in neurofibromatosis

 

Darier-White diseaseaka Darier's disease

 

Dariers signa finding in urticaria pigmentosa; stroking the skin over the pigmented macules causes an urticarial wheal

 

Darier-Roussy sarcoid        sarcoidosis of the subcutaneous tissue

 

Degoss disease                AKA malignant atrophic papulosis

 

Dennie-Morgan lines        a double infra-orbital fold, often seen in atopic individuals

 

Dowling-Degos diseaseAKA reticulate pigmented flexural anomaly (AKA “dark dot” disease); much like acanthosis nigricans but it does not become warty or raised

 

Dowling-Meara variant (of epidermolysis bullosa simplex) AKA EBS herpetiformis; the two characteristic features of this important EBS variant ore the presence of herpetiform blisters and, with age, the development of confluent palmoplantar callosities, reminiscent of acquired keratoderma        

 

Feltys syndrometriad of rheumatoid arthritis, splenomegaly, and leukopenia

 

Fitz-Hugh-Curtis syndromeperihepatitis in a women with a history of gonococcal or chlamydial salpingitis

 

Fordyces spots                ectopic sebaceous glands on the lips and thereabouts

 

angiokeratoma of Fordyce                on the scrotum and less often the vulva

 

Fox-Fordyce disease        apocrine miliaria;  usually axillary

 

Futchers lines                AKA Voights lines;  pigmentary demarcation lines seen in people with dark skin

 

Gottrons sign                violaceous flat topped papules seen over the knuckles in dermatomyositis        

 

Gorlins sign:        ability to touch nose with tip of tongue (seen in ED syndrome and normal people)        

 

Gorlin-Goltz syndrome        basal cell nevus syndrome (Gorlin was a dentist)

 

Goltz syndrome                focal dermal hypoplasia

 

Gougerot-Blum (BPP)        the lichenoid variant of benign pigmented purpura

 

Gougerot-Carteaud        confluent and reticulated papillomatosis

 

Jarisch – Herxheimer Reaction: transient reaction following antibiotic treatment of early and later stages of syphilis, and sometimes borreliosis (and others...); featuring fever chills, headache, myalgias, and exacerbation of cutaneous lesions believed to be due to liberation of endotoxin-like substances or of antigens from the killed or dying microorganisms        

 

Hallapeaus disease        acrodermatitis contiua

 

Hand-Schüller-Christiana Langerhans cell histiocytosis:  triad diabetes insipidus, proptosis, and lytic bone lesions

 

Heerfordts syndrome        uveitis, parotid gland involvement, fever, and facial nerve palsy

 

Hutchinson’s sign linear melonychia that involves the proximal nail fold and periungual skin
Suggestive of melanoma, therefore must biopsy (and include nail matrix)
       

 

Janeway Lesionspainless, macular lesions on the palms and soles in SBE (Jane wouldnt hurt anybody)  (see box below)

 

Kaposis sarcomaa multifocal tumor of vascular and lymphatic endothelium (HHV-8)

 

Kaposis varicelliform eruptiona complication of atopic dermatitis featuring widespread infection caused by HSV

 

Kaposiform hemangioendotheliomathis and tufted angiomas are the most common lesions to develop Kasabach-Meritt phenomenon

 

Kasabach-Merritt Phenomenon: hemolytic anemia, thrombocytopenia, and coagulopathy; a complication of rapidly evolving vascular lesions (most often seen in tufted angiomas or kaposiform hemangioendotheliomas)        

 

Klippel-Trenauny Paul Trenaunay: French Neurologist (b. 1875)-Weber port wine stain of a limb associated with limb enlargement

 

Koebner phenomenon AKA “isomorphic response”; development of new lesions in response to external trauma; characteristic of psoriasis and LP (also lichen nitidus)

 

Letterer-Siwe disease        the acute, fulminant end of the Langerhans cell histiocytosis spectrum

 

 

Löfgren’s syndrome the classic acute presentation of sarcoidosis; bilateral hilar LAN, erythema nodosum, fever, uveitis, and arthralgias; sarcoid that presents like this has 80% chance of spontaneous resolution within 2 years        

 

Majocchis granuloma        deep infection with Trichophyton rubrum resembling a pyogenic abscess

 

Majocchis disease        AKA purpura annularis telangiectodes

 

Marjolins ulcer:term used for cancers arising in sites of chronic injury or irritation such as scars, ulcers, and sinuses

 

Massons tumor: AKA intravascular papillary endothelial hyperplasia (= a relatively common lesion that appears to represent a distinctive pattern of organizing thrombus)

 

angiokeratoma of Mibelli:a form seen on fingers, hands, toes, and feet; the lesions have been aptly described as  telangiectatic warts

 

classic porokeratosis of Mibelli         one or few annular plaques with central atrophy and cornoid lamella

 

Mikulicz cells        a very large roundish vacuolated histiocyte containing numerous Frisch bacilli (Klebsiella rhinoscleromatis); seen characteristically in Rhinoscleroma

 

 

Miescher’s granuloma AKA actinic granuloma; annular elastolytic granuloma: appears like necrobiosis lipoidica but appears on the head and neck, hands, or forearms, commonly in middle-aged, non-diabetic women (a variant of the NLD-GA spectrum)        

 

Nikolskys sign                pressure applied laterally to the bulla results in extension of the bulla

 

Osler’s nodes painful nodules on the pads of the fingers and toes in SBE (pain may be explained by the vasculitic involvement of the glomus body in the fingertip) (see box below)        

 

Osler-Weber-RenduAKA hereditary hemorrhagic telangiectasia; autosomal dominant

 

Pastias sign linear petechiae characteristically found in the skin folds (especially antecubital fossae and inguinal area) in scarlet fever

 

Perry-Romberg syndrome facial hemiatrophy with morphea

 

Ramsey-Hunt syndrome herpes zoster infection involving the geniculate ganglion, resulting in blisters in the tympanic membrane and /or external ear and ear pain. Patients may also have tinnitus, nystagmus, vertigo, and hearing loss.
       

 

Sjogren-Larson syndrometriad:  ichthyosis, spastic diplegia, mental retardation

 

Sjogrens syndromesicca syndrome

 

Sneddon syndromelivedo reticularis with cerebrovascular lesions; in many cases can be attributed to antiphospholipid antibodies

 

Sneddon-Wilkinson diseaseAKA subcorneal pustular dermatosis; notable for its chronicity and recalcitrance

 

Spiegler-Fendt sarcoid        synonym for lymphocytoma cutis

 

Splendore-Hoeppli phenomenon radiating or annular eosinophilic deposits of host-derived materials, and possibly of parasite antigens, which form around fungi, helminths or bacterial colonies in tissue; antigen-antibody complex, looks like an asteroid body but not in a cell (seen in sporotrichosis )

 

Sturge Weber syndrome AKA encephalotrigeminal angiomatosis

 

Trousseau’s sign recurrent, migratory thrombophlebitis, affecting mainly upper extremity and trunk, associated with carcinoma of internal organs (esp. pancreas, lung, or stomach)        

 

Tyndall Effect preferential absorption of long wavelengths of light by melanin, and scattering of shorter wavelengths that represent the blue end of the color spectrum by collagen bundles. This explains the blue color of lesions such as blue nevus        

 

Vilonovas diseasevariant of erythema nodosum (erythema nodosum migrans)

 

Voights linesAKA Futchers lines

 

Von Zumbush: generalized pustular psoriasis; in pregnant woman = impetigo herpetiformis (often with with no history of psoriasis)

 

Woronoffs Ringas a result of ultraviolet light  and coal tar therapy  a white ring of vasoconstriction may develop in the normal skin adjacent to psoriatic plaques

 

Weber-Cockayne variantthe most common form of EBS, characterized by blisters largely confined to the palms and soles, which occur after trauma

 

Weber-Christiansonidiopathic lobular panniculitis

 

Wickhams striae        the white lacy lines seen on the flat topped papule of lichen planus

 

 

 

BOLD names are names that are included in at least two diseases  (especially if not alphabetically juxtaposed)

 

 

 

Heberdens and Bouchards nodes:

posterolateral bony outgrowths affecting DIP or PIP respectively
associated with osteoarthritis
mnemonic = “half-back”