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January 1991

Tender Linear Lesions of the Fingers

Author Affiliations

Indiana University and Veterans Administration Medical Center, Indianapolis, Ind

Arch Dermatol. 1991;127(1):117-118. doi:10.1001/archderm.1991.01680010127023

REPORT OF A CASE  A 54-year-old white woman presented with a 7-year history of tender lesions on her index fingers. She first noted skin changes during the winter months when she was frequently outdoors. Gradual progression of the lesions had resulted in increased pain and itching over the years. She had no history of Raynaud's phenomenon or trauma. The family history was absent for similar skin problems.The physical examination revealed smooth linear plaques located along the radial aspects of the index fingers and, to a lesser degree, along the ulnar aspects of the thumbs. The right hand was more severely affected than the left (Fig 1). Several tender fissures within the depressed central areas of the plaques were found. The feet were normal. Examination of the remaining skin was remarkable for extensive actinic damage of the exposed skin.A punch biopsy specimen was taken from an involved

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