Friday pop Quiz #253
The correct answer is D. Spongiosis.
Recognize the pruritic palmar monomorphic vesicles as most consistent with
dyshidrotic eczema (i.e., pompholyx). Spongiosis is a key feature to separate it
from other diagnoses.
Eosinophilia may be present in contact dermatitis or bullous pemphigoid, a
floor-pattern salt-split skin may be present in epidermolysis bullosa acquisita,
leukocytoclas …