Contact dermatitis

QUESTION 2

A 79-year-old woman presents to a dermatology clinic with a painful, itchy rash on her hand and wrist. The patient is visiting her daughter from South America and reports that while cooking, she sustained burns to the hand and wrist when she came into contact with a hot surface. She attempted to treat the areas with multiple over-the-counter topical medications. She cannot recall what she used but reports using various old antiseptics and ointments she brought from South America. However, her burn wounds have worsened and she has developed increased pain, swelling, erythema and intense pruritus at the sites of the wound. On examination there are well-demarcated scaly orange-red plaques on the medial hand and wrist with superficial fissures (2).

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