Diagnosis: Arthropod bite reaction
Description: Hemorrhagic itchy vesicles on dorsum of foot
Clinical Features: Vesicles hemorrhagic
Pathology/Site Features: Foot,dorsum
Sex: F
Age: 65
Submitted By: Ian McColl
Differential DiagnosisHistory: 6524kp A couple of days after walking in the sand on the beach this lady developes an eruption on the dorsa of both feet. No other areas involved. Clinically sand fly hypersensitivity DD Polymorphous light eruption
Description: microscopy
Comments: dermal oedema and mixed inflammation with eosinophils