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Erythematous plaques on the bilateral dorsal hands
Neutrophilic dermatosis of the dorsal hands is a rare cutaneous disorder characterized by the sudden onset of painful, haemorrhagic, and pustular bullae with violaceous rims on the dorsal aspects of the hands. Here we present a 61‐year old male with a 1‐week history of tender, haemorrhagic, and pust...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10549848/ https://www.ncbi.nlm.nih.gov/pubmed/37799361 http://dx.doi.org/10.1002/ski2.286 |
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author | Fardos, Mohammad Cooper, Benjamin R. Holt, Sara Esguerra, David |
author_facet | Fardos, Mohammad Cooper, Benjamin R. Holt, Sara Esguerra, David |
author_sort | Fardos, Mohammad |
collection | PubMed |
description | Neutrophilic dermatosis of the dorsal hands is a rare cutaneous disorder characterized by the sudden onset of painful, haemorrhagic, and pustular bullae with violaceous rims on the dorsal aspects of the hands. Here we present a 61‐year old male with a 1‐week history of tender, haemorrhagic, and pustular bullae on both dorsal hands, evolving into ulcerative plaques with haemorrhagic crusting over 5 days. A 4 mm lesional punch biopsy revealed a diffuse dermal infiltrate of numerous neutrophils intermixed with lymphocytes and histiocytes, along with epidermal spongiosis and neutrophilic exocytosis. No leukocytoclastic vasculitis was identified. The provided images document the progression of this rare inflammatory process. Understanding such cases is crucial for accurate diagnosis and management. |
format | Online Article Text |
id | pubmed-10549848 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105498482023-10-05 Erythematous plaques on the bilateral dorsal hands Fardos, Mohammad Cooper, Benjamin R. Holt, Sara Esguerra, David Skin Health Dis Images in Dermatology Neutrophilic dermatosis of the dorsal hands is a rare cutaneous disorder characterized by the sudden onset of painful, haemorrhagic, and pustular bullae with violaceous rims on the dorsal aspects of the hands. Here we present a 61‐year old male with a 1‐week history of tender, haemorrhagic, and pustular bullae on both dorsal hands, evolving into ulcerative plaques with haemorrhagic crusting over 5 days. A 4 mm lesional punch biopsy revealed a diffuse dermal infiltrate of numerous neutrophils intermixed with lymphocytes and histiocytes, along with epidermal spongiosis and neutrophilic exocytosis. No leukocytoclastic vasculitis was identified. The provided images document the progression of this rare inflammatory process. Understanding such cases is crucial for accurate diagnosis and management. John Wiley and Sons Inc. 2023-09-10 /pmc/articles/PMC10549848/ /pubmed/37799361 http://dx.doi.org/10.1002/ski2.286 Text en © 2023 The Authors. Skin Health and Disease published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Images in Dermatology Fardos, Mohammad Cooper, Benjamin R. Holt, Sara Esguerra, David Erythematous plaques on the bilateral dorsal hands |
title | Erythematous plaques on the bilateral dorsal hands |
title_full | Erythematous plaques on the bilateral dorsal hands |
title_fullStr | Erythematous plaques on the bilateral dorsal hands |
title_full_unstemmed | Erythematous plaques on the bilateral dorsal hands |
title_short | Erythematous plaques on the bilateral dorsal hands |
title_sort | erythematous plaques on the bilateral dorsal hands |
topic | Images in Dermatology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10549848/ https://www.ncbi.nlm.nih.gov/pubmed/37799361 http://dx.doi.org/10.1002/ski2.286 |
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