key: cord-0868318-vtlrn1oj
authors: Cook, Jordan; Russell, Abigail; Johnston, Chad; Rowe, Dave
title: Rapidly Growing Bullous Plaque on the Hand
date: 2020-08-24
journal: JAAD Case Rep
DOI: 10.1016/j.jdcr.2020.08.024
sha: 5b3aefdb41b9c85e7f45ca6cdb21e63ae24a4d6a
doc_id: 868318
cord_uid: vtlrn1oj

nan

A 46-year-old woman with no previous dermatological history presented to the dermatologist with a complaint of an enlarging, painful and ulcerating bullous plaque on the left-hand ( Figure   1 ) present for 3 weeks. The patient works as a cashier and owns livestock, including horses, cattle, and chickens. No drainage, other areas of involvement, or contacts with similar lesions were noted. She denied any injury to the area prior to the development of the lesion, however, she reports an unsuccessful incision and drainage was attempted at a recent emergency department visit. Gram stain from the previous incision and drainage was negative. A shave biopsy was obtained with hematoxylin-eosin staining shown below ( Figure 2 

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