Figure 1. Photo of bullous lesions on patient’s left hand. This picture was taken when both hands had many bullous violaceous lesions. Note the discoloration of the finger tips as well as the bullae along the lateral side of the left index finger. The patient was in such severe pain at this point in his hospital course that he held his hands out in front of him, for fear of the lesions coming into contact with any surface. Later in the hospital course, the lesions erupted, drained, darkened, and became less painful.
