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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.