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Elizabeth F. Sherertz, MD

Arch Dermatol. 1996;132(4):463-464.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

REPORT OF A CASE

A 43-year-old man with no history of skin disease had a laceration and crush injury to his left middle finger, requiring tendon repair. During healing, a pruritic vesicular eruption developed that was limited to this site. Trials of topical corticosteroids and topical and oral antibiotics led to no improvement over 6 months. During that time, the patient was on medical leave because of intractable dermatitis and because of the nature of the injury.

He was then referred for evaluation. On examination, there were multiple pinpoint vesicles circumferentially on the left middle finger, with secondary crusting (Figure 1). There were no notable lesions elsewhere. Recent topical therapy consisted of desoximetasone ointment, betamethasone ointment, bandages, and plain white cotton gloves. The results of a potassium hydroxide preparation were negative, and a bacterial culture yielded coagulase-negative Staphylococcus species.

What is your diagnosis? Is there a procedure you would choose . . . [Full Text PDF of this Article]

Author Affiliations
Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC

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