Clinical Quiz
The Hong Kong Practitioner VOLUME 28 / June 2006

A middle age lady presenting with yellow brown pustules on palms and soles
Robin C W Su 蘇志慰


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 24 July, 2006. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the July issue.

Clinical history:

A 50-year old lady presented with two-year history of recurrent yellow pustules on both palms and soles. The yellow pustules resolved to form red brown macules with scaling. Skin scraping was negative for bacteria and fungus. There were psoriatic plaques on elbows, knees and psoriatic nail changes. There were no fever, malaise, urinary or gastro-intestinal symptoms, joint pain, and eye discomfort.
The slide and the question were prepared by:
Dr Robin C W Su,
MRCP(UK), FHKCP, FHKAM(Med)
Medical Officer,
Social Hygiene Service,
Public Health Service Branch, Department of Health.

What is the diagnosis?

A. Pompholyx eczema
B. Pustular psoriasis of palms and soles
C. Keratoderma blenorrhagica
D. Generalised pustular psoriasis

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