Abstract
Acrodermatitis continua of Hallopeau (ACH) is rare pustular dermatosis, also known as dermatitis repens. It is characterized by chronic recurrent eruptions of sterile pustules on distal parts of the fingers and toes, sometimes accompanied by paronychia.1 Untreated, the condition may lead to atrophic skin changes, onychodystrophy, and sometimes even disfigurement of the distal phalanges or toes.
All these changes are debilitating for the patient, with negative impact on quality of life.2 Therefore, fast and effective therapy is highly needed. An 80-year-old woman was treated in our department because of pustular eruptions on erythematous scaly skin on fingers of all extremities lasting for more than 20 years.
Although the patient refused to undergo a skin biopsy, the course of the disease and repeated clinical appearance of the lesions were typical for ACH. Her past medical history was unremarkable, and blood tests were within normal range.