Dermatologic Look-Alikes Blisters on the Hands DINA ZAMIL, BS;TARA L. BRAUN, MD; CHRISTOPHER RIZK, MD
CASE #1
CASE #2
A 65-year-old man with hypertension presents to the dermatology clinic with a 3-day history of a rash on his arms and trunk.The patient reports having a similar rash 1 year ago that started 2 weeks after he had a tender blister on his lip. On examination, the patient has numerous scattered, target-like lesions with central vesicles on his palms, dorsal hands, forearms, back, and chest. The rash does not involve the mucosa, and the patient has no systemic symptoms. The patient has no food allergies and has no history of any other medical conditions.The rest of the examination is normal.
A 5-year-old girl presents with a 1-day history of fever, sore throat, and rash that started on her hands and feet and has spread to her legs. She has not been able to eat or drink for 24 hours because of throat pain. She attends day care and has 2 older siblings. On examination, the patient has scattered erythematous macules and vesicles with an erythematous base on her palms, lower legs, and soles of the feet. She also has erosions on her buccal mucosa and posterior oral cavity. The child’s parents report that the child has no food allergies or other chronic conditions. The rest of the physical examination is normal.
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