Acta Dermato-Venereologica 98-5CompleteContent | Page 23

QUIZ SECTION Painful Papules on the Hand: A Quiz Elizabeth LEE 1 , Tejesh PATEL 1 , Gillian HALE 2 , Sherif ZAKI 3 and Kristopher FISHER 1 * 1 Department of Dermatology, University of Tennessee Health Science Center, 930 Madison Ave suite 840, Memphis, TN 38163, 2 Division of High-Consequence Pathogens & Pathology, and 3 Infectious Disease Pathology Branch, Centers for Disease Control and Prevention, Atlanta, USA. *E-mail: [email protected] A 38-year-old man presented with a 3-day history of painful erythematous papules clustered on the dorsal hands, with few papules on the palmar surface of the fingers (Fig. 1). No oral/peri-oral involvement was noted, and only a solitary incipient vesicle was identified. Skin manifestations were preceded by two days of fever and sore throat. Sick contacts include the patient’s 4-year-old child, who had a similar, more widespread eruption two weeks prior. What is your diagnosis? See next page for answer. Fig. 1. Erythematous papules, clustered in arcuate configuration on the 4 th proximal interphalangeal joint, with scattered erythematous macules and papules on the 5 th digit and dorsal hand. 542 doi: 10.2340/00015555-2884 Acta Derm Venereol 2018; 98: 542–543 This is an open access article under the CC BY-NC license. www.medicaljournals.se/acta Journal Compilation © 2018 Acta Dermato-Venereologica.