Clinical Quiz
The Hong Kong Practitioner VOLUME 27 / December 2005

A man presenting with a chronic scaly eruption
Chi-Yan Leung ±ç§Ó¤¯


A monthly clinical quiz is published in The Hong Kong Practitioner. Readers are invited to participate and a prize draw, sponsored by Pfizer Corporation Hong Kong Limited, will be undertaken among the successful entries each month. For entry into the draw, simply answer the question, fill in the reply slip and return it to the College by 13, January, 2006. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the January issue.

Clinical history:

A 44-year old man complained of chronic scaly eruption on the palms and soles for 20 years. He had consulted various doctors without improvement. On examination, pustules and brownish macules were found on his hands as illustrated.
The slide and the question were prepared by:
Dr Chi-Yan Leung, FRCP, FHKAM(Med)
Senior Medical Officer,
i/c Cheung Sha Wan Dermatological Clinic, Social Hygiene Service, Department of Health.

What is the diagnosis?

A. Pompholyx eczema
B. Tinea manuum
C. Palmoplantar pustulosis
D. Contact dermatitis

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