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August 1993

Tense Bullous Lesions on Fingers

Author Affiliations

Ben-Gurion University of the Negev, Beer-Sheva, Israel, and Kimron Veterinary Institute, Beth-Dagan, Israel

Arch Dermatol. 1993;129(8):1043-1044. doi:10.1001/archderm.1993.01680290115019

REPORT OF A CASE  A 26-year-old female sheperd presented with a 1-week history of vesicular painless lesions on the fingers of her right hand. Her history was unremarkable except for an episode of genital herpes simplex 2 years before.The cutaneous examination revealed a tense, violaceous, 2-cm bulla located on the dorsal aspect of her right index finger. A whitish, 1-cm weeping nodule was noted distal to the bulla. A similar but smaller lesion was present on her right thumb (Figure). The physical examination revealed axillary lymphadenopathy on the right side; there was no fever.Routine laboratory examinations, including erythrocyte sedimentation rate, complete blood cell count, automated analysis system, and urinalysis were all within normal limits. A bacterial culture was negative. Direct examination of the vesicle's fluid did not reveal multinucleated cells or eosinophilic inclusion bodies in the cytoplasm or in the nucleus. Roentgenograms of the right hand revealed

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