Erythematous Plaques on the Bilateral Dorsal Hands

Division

West Florida

Hospital

Largo Medical Center

Document Type

Case Report

Publication Date

9-10-2023

Keywords

neutrophilic dermatosis

Disciplines

Dermatology | Skin and Connective Tissue Diseases

Abstract

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.

Publisher or Conference

Skin Health and Disease

Link to Full Text

Share

COinS