PMC4555905_01
Ulcer over dorsum of right hand with pustules over index and middle fingers, showing flexion deformity
IJSTD-36-74-g001.jpg
PMC4555905_01_IJSTD-36-74-g001.jpg
F1
The ulcer was extending onto the index and middle fingers [Figure-1].
Inadequate response after 2 weeks
IJSTD-36-74-g002.jpg
PMC4555905_01_IJSTD-36-74-g002.jpg
F2
Due to a tardy response after 2 weeks [Figure 2], the dose of valacyclovir was escalated to 1 g BD.
Healed ulcer with pinkish scar tissue and corrected deformity
IJSTD-36-74-g003.jpg
PMC4555905_01_IJSTD-36-74-g003.jpg
F3
The flexion deformity was also corrected [Figure 3].