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Race for the Case

Race for the Case is a clinical quiz feature published quarterly in Dermatology World Directions in Residency — and right here!

Review the case and photos, and submit your answers to the questions below. If you answer correctly, you'll be entered to win a $25 Starbucks gift card. Free coffee and pastries are on the line — what are you waiting for?

Diagnose this case

A 24-year-old female presents for a one-year history of wrinkling of her palms that seems to occur after about two minutes of water contact. It occurs daily when showering, and in situations where her hands are immersed, (such as washing dishes). It is sometimes accompanied by pain. The patient has no known medical problems and takes an oral contraceptive, but no other medications. This does not occur on her soles. Photos demonstrate the patient’s palms after several minutes of immersion in water.

  1. What should this patient be screened for?
  2. What is the most common treatment used for this condition?
  3. In addition to the above, what other associations have been reported?
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