Dermatology clinic

A vesiculopustular eruption of the beard

Andrew Lee, Gayle Fischer



Test your diagnostic skills in our regular dermatology quiz. What is the correct diagnosis and management of these itchy and painful lesions on the face?

Article Extract

Case presentation

A 42-year-old man who works in an office presents with widespread grouped vesicles and pustules on an erythematous base on both sides of his beard (Figure 1). Most lesions are vesicular but some are purulent. They are itchy and painful.

The patient developed a single lesion initially. This was followed by additional lesions overnight, after shaving. He is systemically well but has some lymphadenopathy.