By Michael Sonabend, MD, Author at Clinical Advisor

By Michael Sonabend, MD

All articles by By Michael Sonabend, MD

Tender ulcerated pustular plaques on the dorsal hand

<img src="https://owqo93fpiuc4633lp1zthz57-wpengine.netdna-ssl.com/wp-content/uploads/sites/11/2018/12/dc1007case2.gif" A 45-year-old white man presented to the emergency department (ED) with a three-week history of large tender plaques that had started as pustules on the dorsal hand. The plaques had ruptured and were draining purulent fluid. The man also reported significant malaise and low-grade fevers. A 72-hour trial of cephalexin yielded no improvement,…

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