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Capt Patrick E. McCleskey, MC, USAF; CPT Kelly J. Winter, MC, USA; Richard L. DeVillez, MD
Brooke Army Medical Center, San Antonio, Tex (Drs McCleskey and DeVillez), and Madigan Army Medical Center, Tacoma, Wash (Dr Winter).

Arch Dermatol. 2006;142:1501-1506.

	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 56-year-old white man living in San Antonio, Tex, presented with a 1-week history of edema and tender papules on his hands at the beginning of February. He had worn gloves while working outdoors the previous weekend, during which time the temperatures ranged from 6.1°C to 13.3°C, with a cold front bringing above-normal rainfall and high humidity. The patient had grown up in Montana and had a personal history of frostbite. He denied constitutional symptoms.

Physical examination revealed multiple tender, erythematous papules, with associated edema, over the dorsal and palmar aspects of the index, middle, and ring fingers of the left hand (Figure 1). There was less involvement of his right hand. Several papules were purpuric. A punch biopsy specimen was obtained from a representative lesion (Figure 2 and Figure 3. . . [Full Text of this Article]

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Tender Papules on the Hands—Diagnosis
Arch Dermatol. 2006;142(11):1501-1506.
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