The parents of an 8-year-old boy brought their son to our clinic because they were worried about the recurrent painful lesions on the pinkie, ring, and middle fingers of his right hand (FIGURE 1A and 1B). The lesions, which had recurred monthly for the past 3 years, typically lasted a few days and then spontaneously resolved.
Physical examination revealed numerous skin-colored vesicles on an erythematous base, with overlying crusting and impetiginization over the distal aspects of the fingers. The patient was otherwise healthy and not on any medication.
WHAT IS YOUR DIAGNOSIS? HOW WOULD YOU TREAT THIS PATIENT?
