PMC9477478_01
Hyaline vesicles on the third and fourth left fingers and exulcerations with necrotic scabs on the dorsal and distal fingers (December/2020).
jvb-21-e20210190-g01-en.jpg
PMC9477478_01_jvb-21-e20210190-g01-en.jpg
gf0100
The patient also had ulcerated lesions with necrotic centered scabs on the dorsal surfaces of the second, fourth, and fifth fingers of the left hand and the fifth finger of the right hand, all around 1.5 x 1 cm in size (Figure 1).
Histopathology images of bullous lesions of the patient's hand, showing: (A) eosinophils and neutrophils; (B) perivascular fibrinoid deposits; and (C) high intraepidermal cleavage.
jvb-21-e20210190-g02-en.jpg
PMC9477478_01_jvb-21-e20210190-g02-en.jpg
gf0200
During follow-up, the patient had had a biopsy of a blister of the fourth finger and the specimen had been sent to a pathology laboratory, which had reported hyaline thickening of dermal vessels and subcorneal bullae, compatible with a diagnosis of bullosis diabeticorum (Figure 2).
The same patient in April of 2021, with vesicles on the right thumb and a smaller quantity of exulcerations with fibrinoid base on the fingers.
jvb-21-e20210190-g03-en.jpg
PMC9477478_01_jvb-21-e20210190-g03-en.jpg
gf0300