Which appearance is characteristic of dyshidrotic eczema vesicles?

Which appearance is characteristic of dyshidrotic eczema vesicles?

• A. Honey crusted lesions
• B. Target lesions
• C. Deep-seated vesicles with tapioca pudding appearance
• D. Burrowed ulcers

Answer: (C)

Dyshidrotic eczema (pompholyx) shows clusters of deep, clear fluid–filled vesicles on the palms and soles, often appearing in crops and described as a tapioca pudding appearance. This descriptor specifically captures the look and depth of the vesicles, which is the hallmark of this condition. The other patterns belong to different diseases: honey-crusted lesions are typical of impetigo, target lesions are characteristic of erythema multiforme, and burrowed ulcers are classic for scabies. So the deep-seated vesicles with a tapioca pudding appearance best fit dyshidrotic eczema.

Dyshidrotic eczema (pompholyx) shows clusters of deep, clear fluid–filled vesicles on the palms and soles, often appearing in crops and described as a tapioca pudding appearance. This descriptor specifically captures the look and depth of the vesicles, which is the hallmark of this condition. The other patterns belong to different diseases: honey-crusted lesions are typical of impetigo, target lesions are characteristic of erythema multiforme, and burrowed ulcers are classic for scabies. So the deep-seated vesicles with a tapioca pudding appearance best fit dyshidrotic eczema.