DermAtlas: Online Dermatology Image Library dermatology image,Klippel-Trenaunay-Weber syndrome,vascular malformation, venous,vascular malformation, venous,Vohwinkel syndrome,keratoderma, palmoplantar, mutilating,keratoderma, palmoplantar,keratoderma, palmoplantar, mutilating,keratoderma, palmoplantar,keratoderma, palmoplantar, mutilating,keratoderma, palmoplantar,keratoderma, palmoplantar, mutilating,keratoderma, palmoplantar,cutaneous larva migrans,other,granuloma annulare,papular urticaria,insect bite reaction

© 2001-2010, DermAtlas	*Image Name:*	Klippel_Trenaunay_6_091120	*File Type:*	jpg
	*Diagnosis:*	KLIPPEL-TRENAUNAY-WEBER SYNDROME / VASCULAR MALFORMATION, VENOUS / VASCULAR MALFORMATION	*Category:*	congenital malformation / vascular malformation
	*Body Site:*	foot	*Age:*	25 years
	*Contributor:*	Laura Essary
	*Description:*	edema, hemiatrophy, prominent purple linear telangiectasias and nodules
	*Comments:*	This 25-year-old woman was born with a purple patch on her vulvae. Over many years the lesions became apparent on her left hip, genital area, leg, ankle and foot. New lesions continue to erupt on the left side of her back. Her left leg was 3 inches shorter than her right, and her left foot was 4 shoe sizes smaller than the right, although the affected foot swells dramatically episodically. When she was 5 years old she began to have problems with her knee and ankle joints, and at age 12 she had surgery on her knee with partial reconstruction of the joint and placement of a metal plate. She has experienced 3 fractures or her left femur and simultaneous fractures of her femur and tibia, and an above the knee amputation was being considered. She delivered 3 healthy chidren by cesarian section none of whom were noted to have vascular malformations.
	*Related Images:*	All related Images Klippel_Trenaunay_7_091120 Klippel_Trenaunay_5_091120 Klippel_Trenaunay_4_091120 Klippel_Trenaunay_3_091120 Klippel_Trenaunay_2_091120 Klippel_Trenaunay_1_091120

© 2001-2010, DermAtlas	*Image Name:*	Klippel_Trenaunay_7_091120	*File Type:*	jpg
	*Diagnosis:*	KLIPPEL-TRENAUNAY-WEBER SYNDROME / VASCULAR MALFORMATION, VENOUS / VASCULAR MALFORMATION	*Category:*	congenital malformation / vascular malformation
	*Body Site:*	foot	*Age:*	25 years
	*Contributor:*	Laura Essary
	*Description:*	edema, hemiatrophy, prominent purple linear telangiectasias and nodules
	*Comments:*	This 25-year-old woman was born with a purple patch on her vulvae. Over many years the lesions became apparent on her left hip, genital area, leg, ankle and foot. New lesions continue to erupt on the left side of her back. Her left leg was 3 inches shorter than her right, and her left foot was 4 shoe sizes smaller than the right, although the affected foot swells dramatically episodically. When she was 5 years old she began to have problems with her knee and ankle joints, and at age 12 she had surgery on her knee with partial reconstruction of the joint and placement of a metal plate. She has experienced 3 fractures or her left femur and simultaneous fractures of her femur and tibia, and an above the knee amputation was being considered. She delivered 3 healthy chidren by cesarian section none of whom were noted to have vascular malformations.
	*Related Images:*	All related Images Klippel_Trenaunay_6_091120 Klippel_Trenaunay_5_091120 Klippel_Trenaunay_4_091120 Klippel_Trenaunay_3_091120 Klippel_Trenaunay_2_091120 Klippel_Trenaunay_1_091120

© 2001-2010, DermAtlas	*Image Name:*	Voh_Winkel_syndrome_4_090828	*File Type:*	jpg
	*Diagnosis:*	VOHWINKEL SYNDROME / KERATODERMA, PALMOPLANTAR, MUTILATING / KERATODERMA, PALMOPLANTAR	*Category:*	genodermatosis/genetic disorder
	*Body Site:*	foot / toe	*Age:*	65 years
	*Contributor:*	Lanka Padmavathy, PhD
	*Description:*
	*Comments:*	This 65-year woman, who was born of nonconsanguineous parents, was noted an to have hyperkeratosis of the hands and feet at birth which gradually progressed resulting in autoamputation of fifth fingers and toes. On examination she had a symmetric keratoderma of the palms and soles extending onto the dorsal aspect of the hands and feet and distal parts of the legs.She pared the soles in some areas to reveal the erythematous base beneath. Nail dystrophy and autoamputation of the fifth toes and fingers was noted bilaterally.
	*Related Images:*	All related Images Voh_Winkel_syndrome_1_090828 Voh_Winkel_syndrome_2_090828 Voh_Winkel_syndrome_3_090828

© 2001-2010, DermAtlas	*Image Name:*	Voh_Winkel_syndrome_3_090828	*File Type:*	jpg
	*Diagnosis:*	VOHWINKEL SYNDROME / KERATODERMA, PALMOPLANTAR, MUTILATING / KERATODERMA, PALMOPLANTAR	*Category:*	genodermatosis/genetic disorder
	*Body Site:*	foot / toe	*Age:*	65 years
	*Contributor:*	Lanka Padmavathy, PhD
	*Description:*
	*Comments:*	This 65-year woman, who was born of nonconsanguineous parents, was noted an to have hyperkeratosis of the hands and feet at birth which gradually progressed resulting in autoamputation of fifth fingers and toes. On examination she had a symmetric keratoderma of the palms and soles extending onto the dorsal aspect of the hands and feet and distal parts of the legs.She pared the soles in some areas to reveal the erythematous base beneath. Nail dystrophy and autoamputation of the fifth toes and fingers was noted bilaterally.
	*Related Images:*	All related Images Voh_Winkel_syndrome_1_090828 Voh_Winkel_syndrome_2_090828 Voh_Winkel_syndrome_4_090828

© 2001-2010, DermAtlas	*Image Name:*	Voh_Winkel_syndrome_2_090828	*File Type:*	jpg
	*Diagnosis:*	VOHWINKEL SYNDROME / KERATODERMA, PALMOPLANTAR, MUTILATING / KERATODERMA, PALMOPLANTAR	*Category:*	genodermatosis/genetic disorder
	*Body Site:*	foot / toe	*Age:*	65 years
	*Contributor:*	Lanka Padmavathy, PhD
	*Description:*
	*Comments:*	This 65-year woman, who was born of nonconsanguineous parents, was noted an to have hyperkeratosis of the hands and feet at birth which gradually progressed resulting in autoamputation of fifth fingers and toes. On examination she had a symmetric keratoderma of the palms and soles extending onto the dorsal aspect of the hands and feet and distal parts of the legs.She pared the soles in some areas to reveal the erythematous base beneath. Nail dystrophy and autoamputation of the fifth toes and fingers was noted bilaterally.
	*Related Images:*	All related Images Voh_Winkel_syndrome_1_090828 Voh_Winkel_syndrome_3_090828 Voh_Winkel_syndrome_4_090828

© 2001-2010, DermAtlas	*Image Name:*	Voh_Winkel_syndrome_1_090828	*File Type:*	jpg
	*Diagnosis:*	VOHWINKEL SYNDROME / KERATODERMA, PALMOPLANTAR, MUTILATING / KERATODERMA, PALMOPLANTAR	*Category:*	genodermatosis/genetic disorder
	*Body Site:*	foot / toe	*Age:*	65 years
	*Contributor:*	Lanka Padmavathy, PhD
	*Description:*
	*Comments:*	This 65-year woman, who was born of nonconsanguineous parents, was noted an to have hyperkeratosis of the hands and feet at birth which gradually progressed resulting in autoamputation of fifth fingers and toes. On examination she had a symmetric keratoderma of the palms and soles extending onto the dorsal aspect of the hands and feet and distal parts of the legs.She pared the soles in some areas to reveal the erythematous base beneath. Nail dystrophy and autoamputation of the fifth toes and fingers was noted bilaterally.
	*Related Images:*	All related Images Voh_Winkel_syndrome_2_090828 Voh_Winkel_syndrome_3_090828 Voh_Winkel_syndrome_4_090828

© 2001-2010, DermAtlas	*Image Name:*	CUTANEOUS_ LARVA_MIGRANS_1_090826	*File Type:*	jpg
	*Diagnosis:*	CUTANEOUS LARVA MIGRANS / OTHER	*Category:*	infections and infestations / linear eruptions
	*Body Site:*	sole / foot	*Age:*	30 years
	*Contributor:*	Lanka Padmavathy, PhD
	*Description:*	serpiginous red edematous plaque
	*Comments:*	This 30-year-old agriculturist developed an intensely itchy red serpiginous plaque on the right sole extending on to the top of the foot.

© 2001-2010, DermAtlas	*Image Name:*	granuloma_annulare_2_090818	*File Type:*	jpg
	*Diagnosis:*	GRANULOMA ANNULARE	*Category:*	annular eruption
	*Body Site:*	foot	*Age:*	8 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	multiple hyperpigmented 5 mm papules and 1-3 cm annular plaques with intact overlying skin lines
	*Comments:*	These papules and plaques slowly waxed and waned on the extremities of a healthy 8-year-old girl for over a year.
	*Related Images:*	granuloma_annulare_1_090818

© 2001-2010, DermAtlas	*Image Name:*	granuloma_annulare_1_090818	*File Type:*	jpg
	*Diagnosis:*	GRANULOMA ANNULARE	*Category:*	annular eruption
	*Body Site:*	foot	*Age:*	8 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	multiple hyperpigmented 5 mm papules and 1-3 cm annular plaques with intact overlying skin lines
	*Comments:*	These papules and plaques slowly waxed and waned on the extremities of a healthy 8-year-old girl for over a year.
	*Related Images:*	granuloma_annulare_2_090818

© 2001-2010, DermAtlas	*Image Name:*	papular_urticaria_4_090818	*File Type:*	jpg
	*Diagnosis:*	PAPULAR URTICARIA / INSECT BITE REACTION	*Category:*	environmental injury / hypersensitivity
	*Body Site:*	foot / ankle	*Age:*	26 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*
	*Comments:*	This healthy young adult developed an intensely pruritic eruption on his feet after walking barefoot in the garden 3 days ago. Note the uniformity of the fixed edematous papules with surrounding pallor and the organization of lesions in a linear pattern.
	*Related Images:*	All related Images papular_urticaria_1_090818 papular_urticaria_2_090818 papular_urticaria_3_090818