Figure 1

25 year old F dental hygienist who developed a erythemic stinging rash that developed overnight. She states that the rash burned severely when she put hot water on it. Small, almost vesicles started one week after initial rash and now has remained this discolored bruise color and has remained consistent for 6 weeks to the pictures above. No pain at all now. She does not use latex and only wears a watch on the left arm. No new lotions or soap. Any thoughts?

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