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Vesiculobullous Lesions on the Dorsum of the Foot—Quiz Case

Vesiculobullous Lesions on the Dorsum of the Foot—Quiz Case Report of a case A 22-year-old woman visited our clinic after developing a skin eruption over several days. On physical examination, there were well-demarcated yellowish vesiculobullous lesions with erythematous patches on both feet (Figure 1). The lesions were confined to the acral area of the distal extremities. Her medical record revealed Crohn disease diagnosed 10 years earlier. She was admitted to our internal medicine department because of bowel disease flare-up with abdominal pain, diarrhea, and fever. Her condition was controlled with total parenteral nutrition and medication with mesalamine, azathioprine, ciprofloxacin, and piperacillin-tazobactum, commencing on admission. Clinically, our patient was diagnosed as having contact dermatitis and was treated with topical and systematic corticosteroids. However, she continued to experience flare-ups in the 2 weeks after initial evaluation. A 4-mm punch biopsy specimen was obtained from a bullous lesion of the dorsum of the foot (Figure 2 and Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Vesiculobullous Lesions on the Dorsum of the Foot—Quiz Case

Vesiculobullous Lesions on the Dorsum of the Foot—Quiz Case

Abstract

Report of a case A 22-year-old woman visited our clinic after developing a skin eruption over several days. On physical examination, there were well-demarcated yellowish vesiculobullous lesions with erythematous patches on both feet (Figure 1). The lesions were confined to the acral area of the distal extremities. Her medical record revealed Crohn disease diagnosed 10 years earlier. She was admitted to our internal medicine department because of bowel disease flare-up with abdominal pain,...
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Publisher
American Medical Association
Copyright
Copyright © 2009 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archdermatol.2009.144-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 22-year-old woman visited our clinic after developing a skin eruption over several days. On physical examination, there were well-demarcated yellowish vesiculobullous lesions with erythematous patches on both feet (Figure 1). The lesions were confined to the acral area of the distal extremities. Her medical record revealed Crohn disease diagnosed 10 years earlier. She was admitted to our internal medicine department because of bowel disease flare-up with abdominal pain, diarrhea, and fever. Her condition was controlled with total parenteral nutrition and medication with mesalamine, azathioprine, ciprofloxacin, and piperacillin-tazobactum, commencing on admission. Clinically, our patient was diagnosed as having contact dermatitis and was treated with topical and systematic corticosteroids. However, she continued to experience flare-ups in the 2 weeks after initial evaluation. A 4-mm punch biopsy specimen was obtained from a bullous lesion of the dorsum of the foot (Figure 2 and Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Jul 1, 2009

Keywords: skin diseases, vesiculobullous

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