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Explore This IssueMay 2013
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D) Dyshidrotic eczema
Dyshidrotic eczema is characterized by extremely pruritic papulovesicles on an erythematous base, occurring on the palms and soles. Lesions have a predilection for the instep and the lateral aspects of the digits. Diffuse scaling, as seen in this case, is generally absent. The absence of pruritis in this patient also argues against this diagnosis.
Dr. Femia is a fellow in the dermatology–rheumatology fellowship at Brigham and Women’s Hospital in Boston. She is a diplomat of the American Board of Dermatology.
Dr. Merola is an instructor in the department of dermatology at Harvard Medical School and a fellow in the rheumatology division at Brigham and Women’s Hospital, both in Boston. He is the assistant program director for the combined medicine–dermatology training program and a diplomat of the American Board of Dermatology and the American Board of Internal Medicine.