Unusual Case

This 53 yo man presented with a three week history of a pustular eruption on the left small finger. It began as a papule and slowly enlarged.
History reveals that he has a farm with 500 sheep. He has also been exposed to cats and dressed a deer around a month ago.

Diagnostic tests were done.





Follow-up: The KOH prep was positive. The fungal culture is positive at ten days. Thus, this is inflammatory tinea manus. Await fungal culture for typing of dermatophyte. Resolved with dilute Clorox soaks and 2% ketoconazole cream in one week.

12 days after initial visit.