Make the Diagnosis: Spotty Hands

(MedPage Today) -- A 32-year woman patient presents for evaluation of a persistent eruption on her dorsal hands. She notes the lesions have been present, stable, for a few years, with minimal expansion and rare new lesions. She has tried over-the-counter topical corticosteroids and antifungals without relief. The rash is almost entirely asymptomatic, with very rare pruritus She denies oral lesions, joint pain, or systemic symptoms including no fever, cough, or ocular symptoms On exam, the patient has involvement of the dorsal hands, as shown. via MedPageToday.com - medical news plus CME for physicians Read More Here..