acrodermatitis

ACRODERMATITIS CHRONICA ATROPHICANS

Chronic skin inflammation at the body ends, which can lead to tissue damage in the subcutaneous fat, are referred to as Acrodermatitis chronica atrophicans (ACA) or Herxheimer disease (German dermatologist)

Acrodermatitis is a clear symptom of Lyme borreliosis after a tick bite (tick bite disease) in which the patient is already in the terminal stages. In addition to acrodermatitis, other typical symptoms of Lyme disease can occur such. As the Lyme arthritis. The occurrence can occur only years after an infection with Borellien.

The manifestations range from blotchy skin and blue-red swellings on the extremities to "baked apple skin" / "parchment skin" due to the atrophy of the connective tissue.

Acrodermatitis is usually symptom-poor and insidious, but may also show the following symptoms. In addition to the arthritic complaints on the joints of the fingers and toes, the elbows, ankles and knees, there may be striation-like redness on the forearms. Rarely, nodules form in the skin or the underlying veins appear through the skin. Tingling or itching such as pain or sensory disturbances in the affected areas are rare but occur. Acrodermatitis affects women more often than men. Due to the non-existent symptoms and the creeping course of this disease is often not diagnosed or misdiagnosed. (Alexander Yzer, non-medical practitioner candidate)

ICD-10: L90.4
Sources and further literature:
Tick ​​bites, diseases and treatment options, Elfie Fust, ISBN: 3-927099-66-X