Korean J Dermatol.  2015 Jan;53(1):62-65. 10.0000/kjd.2015.53.1.62.

A Case of Neutrophilic Dermatosis of the Hands on Both Palms

Affiliations
  • 1Department of Dermatology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. stratum@medigate.net

Abstract

Neutrophilic dermatosis of the hands is a rare, peculiar variant of acute febrile neutrophilic dermatosis (Sweet syndrome). It initially appears on the hands and possibly spreads to other locations. Clinically, neutrophilic dermatosis of the hands tends to occur as tender erythematous plaques, pustules, and bullae that are limited to the dorsal hands and fingers. Histopathologically, vasculitis has been observed in pustular lesions on the dorsal hands. Therefore, the terms "pustular vasculitis of the dorsal hands" and "neutrophilic dermatosis of the dorsal hands" were suggested initially. Here, we report a case of neutrophilic dermatosis of the hands in a 77-year-old woman who presented with painful well-demarcated plaques and macules on both palms without dorsal hand involvement. Histopathological findings showed leukocytoclastic vasculitis in the erythematous lesion on the palm.

Keyword

Neutrophilic dermatosis of the hands; Palm; Sweet syndrome
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