case_images: PMC10835198_01
case_images: Puffy hand syndrome affecting the left hand. The palmar surface of the left and right hands of a 47-year-old man with unilateral enlargement of his left hand.
case_images: cureus-0016-00000051545-i01.jpg
case_images: PMC10835198_01_cureus-0016-00000051545-i01.jpg
case_images: FIG1
case_images: In addition to the hand, the left thumb and all his fingers were swollen (Figure 1).
case_images: Drug addiction-associated puffy hand syndrome. Views of the left arm (A), forearm (B and C), and hand (A, B, C, and D) demonstrate swelling that predominantly affects the dorsal left hand (circled by black oval). There are numerous keloidal scars on the forearm and hand (red arrows). A dried blister, which clinically mimicked a pustule, is noted at the base of the thumb (black arrow).
case_images: cureus-0016-00000051545-i02.jpg
case_images: PMC10835198_01_cureus-0016-00000051545-i02.jpg
case_images: FIG2
case_images: At the base of the thumb, a dried blister that morphologically mimicked a pustule was observed; the blister was deroofed and the culture performed was negative for bacteria (Figure 2).