[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.82.105. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
October 1985

Blistering Distal Dactylitis in an Adult

Author Affiliations

Department of Dermatology Fundacíon Jiménez Díaz Universidad Autonoma de Madrid Avenida Reyes Católicos, No. 2 28040 Madrid Spain

Arch Dermatol. 1985;121(10):1242. doi:10.1001/archderm.1985.01660100022009

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—  Blistering distal dactylitis is a superficial infection of the anterior fat pad of the distal portion of the fingers, caused by group A β-hemolytic streptococci.1 The disease has been described in children but, to our knowledge, no case in adults has been previously reported.1-5 We herein report a case of blistering distal dactylitis in an adult fishmonger.

Report of a Case.—  A 35-year-old male fishmonger was referred to our office because of persistent purulent bullous lesions with an erythematous and edematous base. The locations of the lesions on the right hand were the volar fat pads (Fig 1) of the first, second, and third fingers and the dorsum of the fourth finger proximal interphalangeal joint (Fig 2). He complained of pain and functional disability without systemic symptoms.A thin, pale, purulent exudate was aspirated from these lesions. Group A β-hemolytic streptococci were isolated in culture.

First Page Preview View Large
First page PDF preview
First page PDF preview
×