By rray, 12 February, 2015

NPPV

By rray, 12 February, 2015

HRCT

By rray, 12 February, 2015

CPAP

By rray, 12 February, 2015

BODE

By whadikin, 12 February, 2015

PPI

(BMJ)—A 60-yo woman w/ DM and recurrent UTIs presented w/ a scaly rash on the soles of her feet x 4 mo and acute chest pain. ECG and echo: pericarditis. CT: inflamed, nonfunctioning left kidney w/ calculus. Rash and pericarditis resolved after nephrectomy. What is the diagnosis?
Olmsted syndrome
Ichthyosis vulgaris
Acquired palmoplantar keratoderma
Psoriasis
Pitted keratolysis
You are correct. Acquired palmoplantar keratoderma is characterized by abnormal thickening of the skin on the palms and soles. It is associated w/ malignancy, drugs, infections, and chronic systemic diseases. In this case, the pt had underlying xanthogranulomatous pyelonephritis. Tx is aimed at the underlying cause. Presentation w/ palmoplantar keratoderma should prompt search for systemic dz.