KMID : 0363220150530010062
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Korean Journal of Dermatology 2015 Volume.53 No. 1 p.62 ~ p.65
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A Case of Neutrophilic Dermatosis of the Hands on Both Palms
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Kim Soo-Jin
Seo Ji-Young Lee Ho-Yeol Park Hai-Jin
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Abstract
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Neutrophilic dermatosis of the hands is a rare, peculiar variant of acute febrile neutrophilic dermatosis (Sweetsyndrome). It initially appears on the hands and possibly spreads to other locations. Clinically, neutrophilicdermatosis of the hands tends to occur as tender erythematous plaques, pustules, and bullae that are limited to thedorsal 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" weresuggested initially. Here, we report a case of neutrophilic dermatosis of the hands in a 77-year-old woman whopresented 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. (Korean J Dermatol 2015;53(1):62¡65)
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KEYWORD
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Neutrophilic dermatosis of the hands , Palm , Sweet syndrome
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