Monday, February 28, 2011

Hand Lesions


This female patient was seen in Honduras on our recent trip. She had these painful lesions for 23 days and was in severe pain with her entire hand. Look closely at the photo and you can come up with the diagnosis, which is not the hard part the treatment was what was perplexing!

5 comments:

  1. Is it herpes zoster?

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  2. Anonymous8:04 PM

    i think so, looks very ulnar nerve. i was about to suggest the same thing.

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  3. You are both right now the treatment please no antivirals--too late.

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  4. Anonymous8:24 PM

    i'm not sure if there would be much to do for the actual zoster. I would probably try lyrica vs neurontin vs steroids to help with pain.......maybe i should check out emedicine.com

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  5. Is she immunocompromised?

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