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DERMATOLOGYCASE 2026-01
Psoriatic dermatitis on hands and feet
She came in with dermatitis and ulcers on her limbs, with no specific diagnosis of the underlying causes.
Woman, 46 years old100 days14 photos
iIndividual case. Published with the patient's informed consent. Results are not generalizable to other patients and do not replace a medical consultation.
PROGRESS NOTES
Before and after, with dates
03/12/2026Start of treatment
07/01/2026100 days of treatment
Choose the moment you want to compare with the start:
Photos taken by the patient with her phone, unretouched. The date printed on each image is the one from the original record.
ANALYSIS
What we found
The comprehensive analysis identified several factors that, combined, explained the condition:
01
Buerger's disease (thromboangiitis obliterans)Inflammation of the blood vessels in the arms, legs, hands and feet that restricts blood flow and can form clots, with pain and tissue damage that starts in the fingers and toes.
02
Marker of dermatitis herpetiformisAlthough Duhring's disease does not usually appear on the limbs, it pointed to a possible origin: gluten as a trigger.
03
Celiac diseaseAn autoimmune disorder triggered by gluten (wheat, barley, rye) that inflames the small intestine and impairs nutrient absorption.
04
Skin psoriasisHigh readings that had to be taken into account in the approach.
05
Acute thrombosis in the feetDetected during the analysis.
06
Mild endocrine dysfunction and microbial presenceInvolves the pituitary–thyroid axes and adrenal stimulation, plus traces of some parasites and bacteria.
FULL REPORTPsoriatic dermatitis on hands and feetPDF · 8 pages · 1.4 MBDownload the report ↓
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Individual cases documented with informed consent. Results are not generalizable to other patients and do not replace a medical consultation.