Dermatology clinic

Painful eroded blisters on the hands

Andrew Lee, Gayle Fischer
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Test your diagnostic skills in our regular dermatology quiz. What is this ulcerating rash affecting an elderly woman’s hands?

Article Extract

Case presentation

An 80-year-old woman presents after developing painful eroded blisters on her hands (Figure 1). A culture of a skin swab has been performed and returned negative results for bacterial and fungal species. At presentation the patient is afebrile; she has recently been well, but she has been diagnosed previously with acute myelocytic leukaemia.