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Bullae in a 20-Year-Old Man
Robert A. Guardiano, DO;
Michael Ryan, DO;
Elizabeth A. Liotta, MD
Branch Medical Clinic Oceana, Virginia Beach, Va (Dr Guardiano), and Naval Medical Center Portsmouth, Portsmouth, Va (Drs Ryan and Liotta)
Arch Dermatol. 2001;137:1521-1526.
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REPORT OF A CASE
A 20-year-old white man was referred to the dermatology department for recalcitrant bilateral tinea pedis. He had been treated several times by his primary care physician, without success. He presented with significant bilateral pedal intertriginous erythema with severe fissuring and exfoliation. A potassium hydroxide scraping of his feet was positive for hyphae.
During the initial evaluation, the patient was noted to have thickened, ridged skin overlying his elbows, wrists, and knees (Figure 1). He reported a lifelong history of thick, gray, scaling skin localized to the flexural regions of his elbows, wrists, knees, and ankles. On further questioning, he also admitted to having an associated formation of bullous lesions on his upper and lower extremities as a child. These bullous lesions typically occurred at areas of minor skin trauma. Although he had not experienced any bullae during . . . [Full Text of this Article]
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