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A 50-year-old man with blistering skin lesions on both feet
  1. David W Cowart1,
  2. Bijan N Moradi2,
  3. Navin S Arora2
  1. 1DOHET, Tripler Army Medical Center, Honolulu, Hawaii, USA
  2. 2Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii, USA
  1. Correspondence to Dr David Cowart, david.w.cowart{at}us.army.mil

https://doi.org/10.1136/bcr-2013-200850

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    Description

    A 50-year-old man presented with blistering skin lesions on both feet that have progressively worsened over the previous month. Symptoms include pain, burning, itching and persistent drainage. His medical history includes chronic kidney disease stage III and hypertension. Two months prior to this visit he was diagnosed with tinea pedis and treated with topical lamisil, with moderate resolution of his foot pruritus. The patient did not have a history of diabetes.

    Cutaneous examination revealed a malodorous exudative oedematous foot. Extensive bullae, some intact, other ruptured revealing ulceration at the proximal toes and interdigital web spaces …

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    Footnotes

    • Contributors DC, BNM and NSA were all involved in the drafting of the manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned externally peer reviewed.