Dermatology clinic

Painful eroded blisters on the hands

Andrew Lee, Gayle Fischer



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.