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February 2009

A Case of Erythematous Hand Depressions—Quiz Case

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Arch Dermatol. 2009;145(2):195-200. doi:10.1001/archdermatol.2008.581-a

A 67-year-old woman presented with a 2-year history of a solitary asymptomatic lesion on the right lateral palm (Figures 1, 2, and 3) She denied trauma to the area and had no history of a preexisting lesion. Her medical history was remarkable for asthma and arthritis, which were both well controlled. Physical examination of the right lateral palm revealed a 1.3-cm well-circumscribed erythematous shallow depression with a raised hyperkeratotic border. A course of ultra–high-potency topical steroids was prescribed but had no effect on the lesion. While the patient was under care for the first lesion, she developed a second lesion distally on the proximal thumb of the same hand. This lesion measured 2 × 3 mm and had physical characteristics similar to the original lesion.

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