A patient came with intense pruritic skin lesions over his palms as shown below. Diagnosis
**Core Concept**
The patient's presentation of intense pruritic skin lesions over the palms suggests a dermatological condition. **Dyshidrotic eczema**, also known as **pompholyx**, is a common condition characterized by small, itchy blisters on the palms or soles.
**Why the Correct Answer is Right**
Dyshidrotic eczema is a type of eczema that is often associated with intense pruritus and small, fluid-filled vesicles. The exact cause is unknown, but it is thought to involve a combination of genetic and environmental factors, including **atopic disposition** and **contact allergens**.
**Why Each Wrong Option is Incorrect**
**Option A:** Incorrect because it does not match the description of the patient's symptoms.
**Option B:** Incorrect as it is not typically associated with pruritic palm lesions.
**Option C:** Incorrect because it is a different condition altogether.
**Clinical Pearl / High-Yield Fact**
Dyshidrotic eczema can be challenging to treat, but **topical corticosteroids** and **moisturizers** are often effective in managing symptoms.
**Correct Answer:** D. Dyshidrotic Eczema.