[Acropathia ulcero-mutilans].

Orv Hetil

Published: October 1966

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Acropathia ulcero-mutilans acquisita of the upper limbs.

Br J Dermatol

February 1999

Department of Dermatology and Venereology, University Hospital Saint-Pierre, 129 Boulevard de Waterloo, B-1000 Brussels, Belgium.

We report an 80-year-old woman with a bilateral mutilating acro-osteolysis of the fingers progressing over a period of 3 years. As the patient refused nerve or muscle biopsies, our diagnosis of acropathia ulcero-mutilans acquisita or Bureau-Barrière syndrome, characterized by osteolysis, remains hypothetical. Sporadic sensory mutilating acropathy of the upper limbs is rare, and we discuss the differential diagnosis.

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It is reported on an 53 year-old patient who developed the typical features on an Acropathia ulceromutilans nonfamiliaris on the right foot. Diagnostic guidelines, clinical picture and therapy are emphasized.

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