PMC4809447_01
Palmar pustulosis on initial visit.
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PMC4809447_01_gr1.jpg
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On physical examination, there were multiple bilateral erythematous lesions with yellow scales and pustules on her palms (Fig 1) and soles that did not respond to previous treatments of hydrocortisone 1% cream.
Palm after 6 weeks of clobetasol and then 12 weeks of B vitamins and topical fluocinonide.
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B6, vitamin B12, and as-needed fluocinonide and ammonium lactate. By her 3-month follow-up visit the pustular lesions on her scalp, palms (Fig 2), and plantar surfaces were gone.