20 yo healthy male, not taking any drug, works as a mechanic | Figure 1
gioman93
Emergency Medicine Resident
20 yo healthy male, not taking any drug, works as a mechanic and history of hymenopthera venom allergy (but it's cold winter now). presents with tiny erythematosus lesions on the wrist one week ago (day one) which became a single patch lesion elevated from the normal skin. On day 2 the dermatologist prescribed betametasone 1 mg and antihistamines PO in the idea of contact dermatitis with no improvement. On day 4 the other wrist presented the same lesions (pictures 1-2-3). In the idea of erisipela (the lesions are elevated and he had a scratch at work few days before onset on the same hand of the first signs) he started amoxi-clavulanate on day 5 with moderate improvement, but today (day 7) he claims the appearance of similar lesions on the neck and groin. they are not itchy nor painful, just a little bit swollen on the wrist. No reported changes in shampoo, cloth soap nor exposure to particular chemicals.
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