male 29 presents to the ED for constipation, fortuitous disc | Figure 1

male 29 presents to the ED for constipation, fortuitous discovery of these ombilicated vesicles on right palm.

no known psoriasis, no new lotion, no new medication and no significant history, no scabies in the family or friends.

Not a manual worker.

What are your thoughts? dishydrotic keratosis?

Similar cases

you do AA make with no PMHx presents with 6 months of new, well circumscribed, circular Macules on his chest, bilateral shoulders, neck and back. Lesions do not itch, no new exposures, no exposure to drugs. Diagnosis??

New onset of rash. Maybe pruritic? ROS negative

new photo

Pemphigoid. Large healed lesion with a new lesion at edge of healed primary lesion. In second image, new lesion developing in centre whilst the lesion at the edge is healing.