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A healthy 42-year-old man presented with a broad eroded, ulcerated lesion on the left foot, which had developed over the previous month. His new job required that he wear boots, which caused his feet to perspire. Toe-web scale accumulated and became moist. Erythema and vesicles appeared in the webs and then extended onto the dorsum. Itching became intense. The patient applied a moderately strong topical steroid, which provided temporary relief, but then the eruption became painful and much more extensive.
Examination showed an ulcerated area on the dorsal (Panel A) and plantar surfaces. The skin around the erosions was stained . . . [Full Text of this Article] |
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