LAUSR

From D Fund Conf The au H Corre M Jc E PRESENTATION CAS A 46-year-old woman with no dermatologic history presented to the dermatologist with a complaint of an enlarging, painful, and ulcerating bullous plaque on the left hand (Fig 1), present for 3weeks. The patient worked as a cashier and owned livestock, including horses, cattle, and chickens. No drainage, other areas of involvement, or contacts with similar lesions were noted. She denied any injury to the area before the development of the lesion; however, she reported that an unsuccessful incision and drainage was attempted at a recent emergency department visit. Gram stain result from the previous incision and drainage was negative. A shave biopsy was obtained, with hematoxylin-eosin staining (Fig 2).