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Home > West Medicine > Other Specialties > Dermatology
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Acrodermatitis Chronica Atrophicans

皮肤科

Common symptoms

鳞屑、囊样斑块

The pathology of disease

Acrodermatitis chronica atrophicans is late cutaneous manifestation of Lyme borreliosis (Borrelia burgdorferi), presenting with atrophic thin 'cigarette-paper' skin on distal extremities (dorsal feet/hands), often with neuropathy/arthritis. Treatment: oral doxycycline (100 mg BID 21-30 days) or amoxicillin (500 mg TID); ceftriaxone IV for neurologic involvement; treat early; rheumatology/neurology follow-up; monitor neuropathy/arthritis/carditis; tick bite prevention; follow-up dermatology/infectious disease.

Common Symptoms

Atrophic thin 'cigarette-paper' skin; distal extremities; late Lyme; neuropathy/arthritis

Causes and Pathogenesis

Borrelia burgdorferi chronic infection causes dermal atrophy/inflammation.

Treatment

Oral doxycycline/amoxicillin 21-30 days; ceftriaxone if neuro; treat early

Preventive Measures

Tick bite prevention; early treatment of erythema migrans.

Department to Visit

It is recommended to visit the Dermatology/Infectious-disease/Rheumatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.