Flexures Red Scaly

Red scaly areas in the flexures

Red scaly areas in the flexures are usually Tinea or Erythrasma followed by seborrhoeic dermatitis and psoriasis.Pityriasis rosea may only involve the flexures in the inverse type and scale may be to a minimum.Parapsoriasis and mycosis fungoides can also involve the flexures.Hailey Hailey disease has characterisic fissuring of the skin in the flexures that allows it to be diagnosed without viewing actual blisters.

Management    Take a skin scraping to exclude fungus.Look at other areas of the body to confirm psoriasis. Look for the inward facing scale of Pityriasis rosea particularly in the groin and axillary areas.Look for the cracked oozing skin of eczema or Hailey Hailey disease.

SIGN DIP MEN     Overview of Red scaly diseases

 

S-Squamous      Psoriasis,Atopic eczema,Contact eczema,Seborrhoeic eczema,Pityriasis rosea,Pityriasis lichenoides,Pityriasis versicolor,Pityriasis rubra pilaris,Darier’s disease,Lichen planus,Erythrokeratoderma,Exfoliative dermatitis,Congenital ichthyosiform erythroderma,Lamellar ichthyosis,Epidermolytic hyperkeratosis,Acrodermatitis enteropathica

 

I-Infective     Tinea corporis,Secondary syphilis,Tuberculosis,Leprosy,Leishmaniasis,Candidiasis, Unilateral laterothoracic exanthem in children

 

G-Granulomatous  Sarcoidosis 

 

N-Neoplastic    Superficial bcc and scc,Parapsoriasis,Mycosis fungoides,Sezary syndrome,Histiocytosis,Disseminated actinic porokeratoses,

 

D-Drugs  Exfoliative dermatitis eg gold,Triclosan irritant dermatitis

 

I-Immunological   Discoid lupus erythematosus,Pemphigus foliaceous

 

P-Physical     Sunburn,Scabies,Perforating disorders,

 

M-Metabolic  Glucagonoma syndrome,Acrodermatitis enteropathica, Biotin deficiency

 

E-Endocrine   

 

N-Nutritional      Pellagra, Acrodermatitis enteropathica,Kwashiokor,

 

Others   Ilven,