Acrodermatitis Continua of Hallopeau with Unusual Features

Acrodermatitis Continua of Hallopeau (ACH) is a rare clinical entity characterized by sterile pustular eruptions on the hands and feet.It is often considered to be a variant of pustular psoriasis with a chronic relapsing course that tends to be resistant to both topical and systemic treatments for psoriasis.Though ACH may present with paronychia, onychodystrophy and osteolysis of the distal phalanges of the fingers and toes, deformities in the form of auto amputation of the digits and toes has not been reported in the literature.We report this patient with ACH who presented to us with unusual features of auto amputation of toes.