Recurrent blistering distal dactylitis due to in an immunocompetent elderly woman.

BMJ Case Rep 2018 May 7;2018. Epub 2018 May 7.

Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.

An 86-year-old woman presented with marked blistering of her left index fingertip and ulceration of the left middle fingertip, with a 2-year history of recurrent blistering and ulceration of her fingers bilaterally. She denied any preceding finger trauma, although she reported frequent gardening. She denied systemic symptoms. Her medical history was significant for a 2-year history of atrial fibrillation on carvedilol, amiodarone and apixaban, and she was a lifetime non-smoker. On admission, she had elevated inflammatory markers but unremarkable autoantibodies. Radiograph of the hand revealed diffuse soft tissue fullness and subtle irregularities at the tuft of the index finger, but all other investigations were unremarkable. The lesion was incised and drained, revealing blood-tinged purulent fluid. Wound biopsy revealed spongiosis with neutrophils, consistent with a diagnosis of blistering distal dactylitis.

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http://dx.doi.org/10.1136/bcr-2017-222772DOI Listing
May 2018
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References

(Supplied by CrossRef)
A review and report of blistering distal dactylitis due to staphylococcus aureus in two HIV-positive men
Scheinfeld et al.
Dermatol Online J 2007
Blistering distal dactylitis in an adult
Kollipara et al.
J Cutan Med Surg 2015
Blistering distal dactylitis
Baran et al.
J Am Acad Dermatol 1982
Blistering distal dactylitis in an adult
Palomo-Arellano et al.
Arch Dermatol 1985
Blistering distal dactylitis
McCray et al.
J Am Acad Dermatol 1981
Amiodarone-induced vasculitis and polyserositis
Stäubli et al.
Postgrad Med J 1985

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