A 57-year-old man presents to the ED with a 2-week history of vesiculobullous lesions on his feet and hands that have been increasing in size and number. The patient was previously given ointment to treat the lesions, with no effect. Fluid-filled vesicles ranging in size from 1 mm to 3 cm are present on the instep and plantar aspects of his feet, as well as on the palms of his hands and sides of the fingers. The lesions are nontender to palpation. What is the skin condition being described? eMedicine Case Presentations
Asthma-IQ is designed to help clinicians implement the new asthma guidelines, design care plans, and track patient status over time, as well as control healthcare costs. Medscape Medical News
An investigational C1 esterase inhibitor (Berinert, CSL Behring, King of Prussia, PA) is "highly effective and well tolerated" for the treatment of acute abdominal and facial attacks in patients with hereditary angioedema (HAE). Reuters Health Information
The annual cost of medical care for a patient with undiagnosed primary immunodeficiency syndrome is more than $40,000, investigators reported here at the annual meeting of the American Academy of Allergy, Asthma and Immunology. Reuters Health Information
The Advisory Committee on Immunization Practices no longer prefers administering combination measles, mumps, rubella, and varicella vaccine vs separate injections of equivalent component vaccines. Medscape Medical News
Asthma patients tend to reduce use of asthma medications during summer months, which may be a major reason for hospitalizations for exacerbations seen in the fall. Medscape Medical News
Safety reviews of infliximab, etanercept, and adalimumab identified rare cases of erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, and other skin reactions. Medscape Medical News
Atopic individuals who live in houses with high levels of mouse allergen are twice as likely to develop wheeze and other symptoms of asthma as those who live in houses with lower levels, investigators announced here at the annual meeting of the American Academy of Allergy, Asthma and Immunology. Reuters Health Information