what causes acrodermatitis continua ?

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What causes acrodermatitis continua?
Acrodermatitis continua of Hallopeau is often triggered by localised trauma or infection at the distal phalanx (the tip of the digit). 80% begin in only one digit, most commonly the thumb. During acute flare-ups, the skin of the distal phalanx becomes red and scaly and develops small pustules.
 

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