Dermatology clinic

An elderly woman with a hand rash and chest wall lesion

ANNABEL DODDS, Stephen Shumack



Test your diagnostic skills in our regular dermatology quiz. What is the cause of this painful condition affecting an elderly patient?

Article Extract

Case presentation

A 96-year-old left-handed woman presents with a three-day history of an intensely painful vesicular rash of the left hand (Figures 1a and b). She also has an isolated chest wall pustule with an erythematous base (Figure 2).