CD08 Double bubble trouble

نویسندگان

چکیده

Abstract A 29-year-old woman of Lithuanian heritage was referred to dermatology with a 3-year history recurrent blistering the hands and, occasionally, feet. The patient’s own photographs revealed small, tense blisters on sides her fingers and one foot. In general clinic, she noted have acrylic nails, which had been applying at home gel nail kit for over 5 years. recent years, patient noticed that use exacerbated blistering. There no prior skin disease or atopy. She otherwise well, known allergies. worked in food-packing industry where wore nonlatex gloves. light frequent, prolonged nails exacerbation kit, suspected allergic contact dermatitis (ACD) acrylates patch test clinic. Patch testing performed British standard, facial, rubber acrylate series. positive reactions five different acrylates, confirming clinical diagnosis ACD relevant polish. However, several unusual features. Clinically, small round scars dorsum both hands. On questioning, described occurring after each blister. Blisters occurred all year but were significantly more frequent summer months. Exposure ultraviolet (UV) felt trigger This prompted additional tests investigate possible photosensitivity. Both urine plasma porphyrin levels elevated, cutaneous porphyria. is an case dual pathology causing hands: most circumstances, it overlooked diagnosis, here, important medical may missed. It remember caused by kits be multifactorial, UV possibly triggering

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ژورنال

عنوان ژورنال: British Journal of Dermatology

سال: 2023

ISSN: ['1365-2133', '0007-0963']

DOI: https://doi.org/10.1093/bjd/ljad113.207