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Pain and Hyperpigmentation

By Acta Derm Venereol, Felipe Maurício, Soeiro Sampaio, Vitor Ribeiro, Gomes Almeida Valviesse, Julia Ocampo Lyra-da-silva, Emerson Cicilini, Luciana Gomes, Pedro Br, Antonio Carlos and Francesconi Valle


zil, developed well-delimited, asymptomatic, dark-reddish macules, on the distal phalanxes of the 3 first toes of her left foot (Fig. 1). The lesions appeared minutes after having put her shoes on, with an immediate sensation of burning. The shoes had been left outdoors overnight and she had observed an animal inside. The patient appeared to be in a good general state of health, with no palpable lymph nodes or vascular invol-vement. There were no signs and symptoms of systemic disease. Diagnosis was based on epidemiological factors, clinical examination and observation of the agent. What is your diagnosis? See next page for answer

Topics: Pain and Hyperpigmentation of the Toes, Comment
Year: 2016
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