 |
|
Papules on the Hands
Kathy S. Fang, MD, PhD;
Monica Lawry, MD;
Ann Haas, MD
University of California, Davis, Sacramento
Arch Dermatol. 2001;137:1647-1652.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
REPORT OF A CASE
A 49-year-old healthy white man presented with a 3-week history of multiple rapidly appearing papules on his hands. The lesions had been mildly itchy. The patient denied any trauma, recent travel, and similar lesions elsewhere. He had been applying an over-the-counter cortisone preparation, thinking that he had "a rash."
Physical examination revealed many discrete, erythematous papules symmetrically distributed over the lateral aspect of the index fingers (Figure 1). Similar-appearing, more subtle lesions were also seen on the skin overlying the dorsal distal and proximal interphalangeal joints, although the patient had not complained of lesions in those locations (Figure 2). The papules were fairly firm and nontender. There was no hand swelling, and joint movement was not restricted. There was no axillary lymphadenopathy. A punch biopsy specimen was obtained (Figure 3).
| |
Figure 1.
|
|
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
