title: Acropathia ulcero-mutilans acquisita of the upper limbs.
abstract: We report an 80-year-old woman with a bilateral mutilating acro-osteolysis of the fingers progressing over a period of 3 years. As the patient refused nerve or muscle biopsies, our diagnosis of acropathia ulcero-mutilans acquisita or Bureau-Barrière syndrome, characterized by osteolysis, remains hypothetical. Sporadic sensory mutilating acropathy of the upper limbs is rare, and we discuss the differential diagnosis.
authors.affiliation: Department of Dermatology and Venereology, University Hospital Saint-Pierre, 129 Boulevard de Waterloo, B-1000 Brussels, Belgium.
authors.forename: O
authors.initials: O
authors.lastname: Vanhooteghem
authors.forename: N
authors.initials: N
authors.lastname: Lateur
authors.forename: P
authors.initials: P
authors.lastname: Hautecoeur
authors.forename: T
authors.initials: T
authors.lastname: Wiart
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D018450:Disease Progression; D005260:Female; D005385:Fingers; D005500:Follow-Up Studies; D006225:Hand / Q000000981:diagnostic imaging; D006801:Humans; D010015:Osteolysis, Essential / Q000175:diagnosis*; D011859:Radiography