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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

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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.

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