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Quiz of the Week: Do you recognize this pustular rash in an elderly female?

Created June 16, 2017 by Figure 1
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An 80-year-old female with a history of arthritis and high blood pressure presents with recurrent lesions and
erythema on the palms of her hands and the soles of her feet. On examination, hyperkeratosis, brown macules,
and discrete pustules are seen on her palmoplantar surfaces. A fungal culture and serologic tests are
unremarkable. Which of the following is most strongly associated with this patient’s condition?

A) Exposure to ultraviolet radiation
B) Prior HPV infection
C) History of cigarette smoking
D) Prior aspergillus exposure

Find the answer, discuss this case, and more on Figure 1.

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