Presentation
Entire Body System
- Weight Loss
Recurrent infections can lead to weight loss as a result of altered metabolism, nutrient loss and decreased appetite. [mja.com.au]
It usually involves the subungueal area with nail hyperkeratosis and dystrophy. 2 A 56-year-old man, alcoholic, presented with a seven-month history of pruritus (with nocturnal exacerbation), weight loss and muscle weakness. [bjid.org.br]
Seven months after complete clearance of crusted lesions, her general health suddenly worsened with intermittent fever, severe weight loss of 10 kg, enlarged lymph nodes, fatigue, night sweating, malaise, and bruised skin. [onlinelibrary.wiley.com]
- Splenectomy
The patient had previously undergone splenectomy. She had been taking azathioprine and prednisolone daily for more than 1 year. The rash had begun as itchy minor eruptions 3 months previously. [cmaj.ca]
Jaw & Teeth
- Cheilitis
Wide oval patches of nonscarring alopecia developed on the scalp, and atrophic glossitis and angular cheilitis were noted on the oral mucosa, along with a white pseudomembranous exudate on the palatum. [mdedge.com]
Skin
- Nikolsky's Sign
Nikolsky sign testing of the blisters was negative. The general physical examination was normal. Biopsy of a tense bulla excised from the left thigh revealed the formation of an subepidermal blister. [spandidos-publications.com]
- Alopecia
Taking into account the patient’s history of autoimmune hypoparathyroidism, hypothyroidism, oral candidiasis, and alopecia areata, he was diagnosed with autoimmune polyglandular syndrome. [mdedge.com]
Musculoskeletal
- Muscle Weakness
It usually involves the subungueal area with nail hyperkeratosis and dystrophy. 2 A 56-year-old man, alcoholic, presented with a seven-month history of pruritus (with nocturnal exacerbation), weight loss and muscle weakness. [bjid.org.br]
Face, Head & Neck
- Scaly Scalp
We present a series of four patients with crusted scabies in whom scaly scalp was an evident component of the disease. [escholarship.org]
Neurologic
- Paresis
It has been described in patients who do not scratch because of an absence of pruritus or immobility, such as occurs in patients with mental illness, sensory neuropathy, paresis, debilitating illness, or severe arthropathy. [jamanetwork.com]