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Jack J. Liu, BS; Melvin W. Chiu, MD
David Geffen School of Medicine at UCLA, Los Angeles, California

Arch Dermatol. 2008;144(2):255-260.

	Since this article does not have an abstract, we have provided the first 135 words of the full text and any section headings.

REPORT OF A CASE

A 66-year-old man with hypertension presented with painful, raised erythematous lesions on the dorsal surface of both hands for 2 days. The lesions were preceded by a 1-week history of low-grade fevers, sore throat, and back stiffness. He was treated with methylprednisolone for 1 day by his primary care physician. The patient denied any other systemic symptoms or areas of affected skin. There was no exposure to new chemicals, medications, or detergents.

Physical examination revealed violaceous, hemorrhagic bullae on the dorsal aspects of both hands (Figure 1). They were raised, firm, and mildly tender. A skin biopsy specimen of the dorsal surface of the right hand was obtained (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD

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Hemorrhagic Bullae on the Hands—Diagnosis
Arch Dermatol. 2008;144(2):255-260.
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