MYCOBACTERIUM ABSCESSUS HAND-AND-FOOT DISEASE

Mycobacterium abscessus may rarely cause an infection of the palms and soles in children causing inflammatory, painful nodules.

Clinical

Multiple inflammatory nodules on the palms and soles of children who have swam in a contaminated pool is characteristic. Pseudomonas infection can appear very similarly, but has a much faster onset of action, 2-5 days.

The differential diagnosis also includes palmoplantar hidradenitis.

Treatment

Clarithromycin oral for 4-8 weeks is effective.

References

Pediatric Dermatology Vol. 31 No. 3 292–297, 2014

A 45-year-old man with a painful nodule on his left sole that had appeared four weeks after he had undergone acupuncture including the soles to alleviate chronic back pain. The skin lesion on his left sole developed after a few weeks of receiving acupuncture [Ann Dermatol. 2014 Feb; 26(1): 92–95].

RegionalDerm

Homepage | FAQs | Use of Images | Contact Dr. White


It is not the intention of RegionalDerm.com to provide specific medical advice, diagnosis or treatment. RegionalDerm.com only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on RegionalDerm.com is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on RegionalDerm.com should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.