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April 1996

Chronic Finger Dermatitis After Trauma

Author Affiliations

Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC

Arch Dermatol. 1996;132(4):463-464. doi:10.1001/archderm.1996.03890280127019

REPORT OF A CASE  A 43-year-old man with no history of skin disease had a laceration and crush injury to his left middle finger, requiring tendon repair. During healing, a pruritic vesicular eruption developed that was limited to this site. Trials of topical corticosteroids and topical and oral antibiotics led to no improvement over 6 months. During that time, the patient was on medical leave because of intractable dermatitis and because of the nature of the injury.He was then referred for evaluation. On examination, there were multiple pinpoint vesicles circumferentially on the left middle finger, with secondary crusting (Figure 1). There were no notable lesions elsewhere. Recent topical therapy consisted of desoximetasone ointment, betamethasone ointment, bandages, and plain white cotton gloves. The results of a potassium hydroxide preparation were negative, and a bacterial culture yielded coagulase-negative Staphylococcus species.What is your diagnosis? Is there a procedure you would choose

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