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Dermatology clinic

An elderly woman with a hand rash and chest wall lesion

ANNABEL DODDS, Stephen Shumack

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Abstract

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).

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