FINGERTIP

By Gary M. White, MD

See also Finger.

Bulla

Blistering Distal Dactylitis. Courtesy O. Dale Collins, MD
Blistering Distal Dactylitis

Many other causes are possible including: Endocarditis (Osler's node), frictional and traumatic blisters, chemical and thermal burns, drug eruptions including coma blisters and fixed drug eruption, epidermolysis bullosa, porphyria cutanea tarda, pseudoporphyria, diabetic blisters, and herpes simplex.

Fingerprints

Absent Fingerprints
Absent Fingerprints

Necrosis

Thromboangiitis Obliterans

CREST Syndrome

Scleroderma
Scleroderma

Cholesterol Emboli

Antiphospholipid Antibody Syndrome

Malignant Emboli

Osler's Node

Vasculitis

Papule, Red

Osler's Node

Pigmented

Melanoma
Subungual Melanoma

Pustules

Acrodermatitis Continua of Hallopeau
Acrodermatitis Continua of Hallopeau

Red, Scaly

Allergic Contact Dermatitis

Hand Dermatitis
Fingertip Eczema

Mouse Fingers (eczema from using the computer mouse) [JAAD 2001;45;477].

Acrodynia (Mercury poisoning)

Telangiectasia

Hereditary Hemorrhagic Telangiectasia
Osler Weber

Ulcers

Various connective tissue diseases, e.g., scleroderma, CREST. See necrosis above.

Vesicles

Herpetic Whitlow
Herpetic Whitlow

White

Gout
Gout

Wrinkled

Acral Localized Acquired Cutis Laxa (very rare)

Primary Systemic Amyloidosis. "Empty," wrinkled fingertips, infiltrated fingertips, itching and numbness of the fingertips, and fragility, dystrophy and splitting of the nails may occur in primary systemic amyloid [AD 1995;131;951(CP)] (very rare).

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