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Acrodermatitis continua of Hallopeau

A rare, chronic, sterile pustular eruption beginning on a single fingertip that can lead to nail destruction and bone changes.

Allergic contact dermatitis

An eczematous rash with vesicles and pruritus, often on the dorsal fingers, in a pattern suggesting contact with an allergen like nickel or plants.

Chilblains

Itchy and painful red or purplish swellings on the fingers after exposure to cold.

Dermatomyositis

An autoimmune disease with characteristic Gottron's papules (violaceous, scaly papules over the knuckles) and periungual telangiectasias.

Discoid lupus erythematosis

Can present as atrophic, erythematous plaques with scale on the dorsal fingers, often with periungual erythema and telangiectasias.

Granuloma annulare

Presents as a non-scaly, annular arrangement of skin-colored or erythematous papules on the dorsal aspects of the hands and fingers.

Herpetic whitlow

A herpes simplex infection causing a painful, vesicular or pustular eruption on a single fingertip.

Irritant dermatis

A common "hand eczema" from frequent hand washing or chemical exposure, causing dryness, scaling, and painful fissures.

Perniosis

Another term for chilblains, presenting as painful, itchy, red to purple inflammatory papules and nodules on the fingers after exposure to cold.

Psoriasis

Can present as well-demarcated, erythematous plaques with a silvery scale on the dorsal fingers and knuckles, often with associated nail pitting.

Scabies

A parasitic infestation causing an intensely pruritic rash with characteristic burrows and papules in the finger webs.

Scleroderma

Systemic sclerosis causes skin hardening (sclerodactyly), tapering of the fingers, Raynaud's phenomenon, and painful "rat-bite" ulcers over the joints.

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