E1304. More than Skin Deep: Where Radiology and Dermatology Overlap
  1. Sarah Mizrachi; Montefiore Medical Center
  2. Jose Jaller; Montefiore Medical Center
  3. Michelle Toker; Albert Einstein College of Medicine; Montefiore Medical Center
  4. Jessica Goldman; University of Toronto, Sunnybrook Health Sciences Centre
  5. Pooja Shah; Northwell Health
  6. Benedict Wu; Montefiore Medical Center
  7. Edward Mardakhaev; Montefiore Medical Center
Numerous clinical entities exhibit both dermatological and radiologic manifestations. In certain disorders, this is due to a shared mechanism, such as an infection or inflammatory condition. In others, it is due to a common congenital malformation. With a greater understanding of these associations, both radiologists and dermatologists can more promptly and accurately diagnose patients with these conditions.

Educational Goals / Teaching Points
Review the dermatologic and radiological features of conditions that classically demonstrate both skin and musculoskeletal findings. Discuss dermatologic findings which can suggest underlying musculoskeletal pathology, warranting further radiologic evaluation. Describe radiologic findings which may be due to underlying dermatologic conditions, warranting further dermatologic examination. Highlight key dermatologic and imaging findings that can affect the diagnosis, management, or prognosis.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
While the list of syndromes with both dermatologic and radiologic manifestations is extensive, the goal of this exhibit is to discuss some of the most commonly encountered, with especially classic or notable features. Infections, including monkeypox, leprosy/Hansen’s Disease, syphilis, actinomycosis, mycetoma, rubella, measles, and lyme disease. Genetic syndromes, including tuberous sclerosis, Gorlin-Goltz (basal cell nevus syndrome), Ehlers Danlos, McCune Albright, neurofibromatosis 1, Maffucci, Nail-Patella, and melorheostosis. Inflammatory disorders and arthritides including eosinophilic fasciitis (Shulman’s Disease), SAPHO (synovitis, acne, pustulosis, hyperostosis, osteitis) Syndrome, scleroderma, sarcoidosis, Sjogren Syndrome, relapsing polychondritis, rheumatoid arthritis, psoriatic arthritis, reactive arthritis, granuloma annulare, dermatomyositis, systemic lupus erythematosus. Neoplastic disorders, including dermatofibrosarcoma protuberans (DFSP), adiposis dolorosa (Dercum disease), subungual glomus tumor, subungual exostosis, kaposi sarcoma.

The radiologist has an important role as an interdisciplinary consultant. Heightening the radiologist’s familiarity with the clinical context of imaging manifestations aids us in forming a more refined differential diagnosis. We thereby become more helpful to clinicians, as well as to the patients we serve. Furthermore, increasing the dermatologist’s awareness of the radiological characteristics of skin conditions can guide them in requesting the appropriate imaging tests with a focused clinical question. With improved interdisciplinary understanding between radiology and dermatology, we can work together to provide our patients with an efficient and accurate diagnosis.