case_images: PMC10666682_01
case_images: Erythematous rash on the forearm and dorsal side of the hands of the patient (a, right; b, left). It is accompanied with edema in the fingers and onycholysis.
case_images: 10.1177_2050313X231213930-fig1.jpg
case_images: PMC10666682_01_10.1177_2050313X231213930-fig1.jpg
case_images: fig1-2050313X231213930
case_images: Edema was present in the forearms, hands and fingers as well as in the feet and legs (Figure 1).
case_images: Punch biopsy of the skin. Microscopic analysis shows epidermic acanthosis with dyskeratotic cells and reactive atypia.
case_images: 10.1177_2050313X231213930-fig2.jpg
case_images: PMC10666682_01_10.1177_2050313X231213930-fig2.jpg
case_images: fig2-2050313X231213930
case_images: Epidermal acanthosis, epidermal dysmaturation with atypia, presence of keratinocyte apoptosis, significant hypergranulosis, and minimal perivascular lymphocyte infiltration were seen on pathology (Figure 2).