Tuesday, September 05, 2017
Man from India with Wide-Spread Vesicular Eruption
Presented by Dr. Bassem Ghali
Jagadguru Sri Shivarathreeswara University
The patient is a 60 yo man with a pmhx of COPD who noted a recent eruption of vesicles on trunk, as well as his forehead and scalp. No fever. No other pertinent history. No itch. No pain. No new meds.
It started as blisters on the trunk, slightly itchy but no other symptoms, and not painful. The lesions opened up with clear fluid being expressed and leaving shallow ulcers. They have started become generalized with new lesions on the scalp and genitalia.
O/E: Lesions appear like small bullae/vesicles on chest and abdomen, with clear fluid. In the center is what appears to be a black point, probably the hair follicle. There is no erythema on or around these lesions.
Diagnosis: What are your thoughts?