title: A Souvenir From France: Acrodermatitis Chronica Atrophicans Presenting in the United States.
abstract: A 70-year-old man was referred by his rheumatologist to our dermatology clinic for evaluation of dermatitis on his right arm that appeared 3 months earlier. The skin lesion was asymptomatic and the patient denied current systemic symptoms, including fever, chills, and joint pain; however, 10 months prior to this presentation he experienced arthritis in the left knee. At that time, Borrelia serology revealed positive IgG (6.07; <0.8 negative, 0.8 to 0.99 borderline, ≥1 positive) and negative IgM titers. The patient had not received treatment for Lyme disease in the past. He was referred to rheumatology for evaluation of possible Lyme disease but did not follow up until 10 months later. The arthritis has since resolved. He travels frequently to France and recalls multiple tick bites during these trips.
authors: Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
authors: Lilia M
authors: LM
authors: Correa-Selm
authors: Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
authors: Tara
authors: T
authors: Bronsnick
authors: Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
authors: Babar K
authors: BK
authors: Rao
authors: Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
authors: A Yasmine
authors: AY
authors: Kirkorian
authors: Pathology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
authors: Alan
authors: A
authors: Marcus
authors: Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ; chaji@rutgers.edu.
authors: Jisun
authors: J
authors: Cha
mesh_terms: D000169:Acrodermatitis / Q000175:diagnosis* / Q000276:immunology; D000368:Aged; D001132:Arm; D058345:Asymptomatic Infections; D025065:Borrelia burgdorferi / Q000276:immunology*; D003872:Dermatitis / Q000175:diagnosis; D005602:France; D006801:Humans; D007074:Immunoglobulin G / Q000097:blood; D007075:Immunoglobulin M / Q000097:blood; D008193:Lyme Disease / Q000175:diagnosis* / Q000276:immunology; D008297:Male; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000276:immunology; D000076082:Travel-Related Illness; D014481:United States
chemical_list: D007074:Immunoglobulin G; D007075:Immunoglobulin M