Blistering distal dactylitis


Blistering dactylitis

98 Bloch-Siemens syndrome


Superficial infection of the anterior fat pad of distal phalanx, usually caused by P-hemolytic streptococcal pathogens


S. pyogenes colonizes normal skin surfaces for extended periods; following acquisition on the normal skin, minor trauma may be a prerequisite for initiating infection

Clinical manifestation

Tender vesicle or bulla on an erythematous base, covering the volar surface of the affected digit

Differential diagnosis

Herpetic whitlow; friction blister; epider-molysis bullosa; burn trauma


Penicillin G benzathine; penicillin VK; incision and drainage


Ney AC, English JC 3rd, Greer KE (2002) Coexistent infections on a child's distal phalanx: blistering dactylitis and herpetic whitlow. Cutis 69(I):46-48

0 0

Post a comment