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Multiple Plaques on the Hands and Feet—Quiz Case
Thomas J. Lambert, MD;
Victor G. Prieto, MD, PhD;
Madeleine Duvic, MD
Texas Tech University School of Medicine, Lubbock (Dr Lambert), and The University of Texas M. D. Anderson Cancer Center, Houston (Drs Prieto and Duvic)
Arch Dermatol. 2007;143(1):109-114.
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REPORT OF A CASE
An 83-year-old man presented with a 5-year history of an eruption that had begun on his left heel and had progressed over the next several years to involve both hands and feet. The eruption had been asymptomatic except for occasional pruritus. The patient also noted pain and enlargement of his left great toe for approximately 2 weeks.
Physical examination revealed multiple dusky, violaceous plaques on the palmar and dorsal aspects of the hands, with areas of sparing on the fingers and palms (Figure 1). There were focal areas of scale, fissuring, and ulceration. No nail involvement was present. Similar plaques were also present on the dorsal and plantar aspects of both feet, with swelling, erythema, and tenderness of the left great toe. Diffuse onychomycosis of the toenails was noted. Physical examination revealed no other lesions, and . . . [Full Text of this Article]
RELATED ARTICLE
Multiple Plaques on the Hands and Feet—Diagnosis
Arch Dermatol. 2007;143(1):109-114.
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