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QUIZ SECTION ActaDV ActaDV
Advances in dermatology and venereology Acta Dermato-Venereologica
Waxing and Waning Bullous Hand Lesions : A Quiz
Sam POLESIE and Maja MODIN Department of Dermatology and Venereology , Sahlgrenska University Hospital , Institute of Clinical Sciences at the Sahlgrenska Academy , University of Gothenburg , Gröna stråket 16 , SE-413 45 Gothenburg , Sweden . E-mail : sam . polesie @ vgregion . se
A 20-year-old male reported having bullous lesions on both hands ( Fig . 1 ). However , by the time he presented at the dermatological clinic his bullous lesions had cleared spontaneously , leaving epidermal , squamous lesions . The bullous hand lesions had been waxing and waning for approximately one month and had previously been interpreted as pompholyx . A diagnostic test was obtained .
Topical treatment with betamethasone had been unsuccessful and had only resulted in partial clearance . The patient had no history of atopic dermatitis . He worked with manual labor in the industry .
What is your diagnosis ? See next page for answer .
Fig . 1 . The left palm of a patient with bullous lesions . Photograph taken before his first visit to the dermatology department .
doi : 10.2340 / 00015555-2546 Acta Derm Venereol 2017 ; 97 : 416 – 417
This is an open access article under the CC BY-NC license . www . medicaljournals . se / acta Journal Compilation © 2017 Acta Dermato-Venereologica .