title: Blistering Distal Dactylitis in an Adult.
abstract: BACKGROUND
  Blistering distal dactylitis is a localised infection of the anterior pad of the distal phalanx of the digits. It most commonly affects children and uncommonly adults with a history of immunosuppression or trauma.
  
  
  OBJECTIVE
  A case of blistering distal dactylitis in a 32-year-old male is reported. The patient was not immunocompromised and did not report trauma.
  
  
  CONCLUSIONS
  Blistering distal dactylitis may rarely present in adults (including those who are not immunocompromised or reporting trauma) and thus should be in the differential diagnosis for an adult presenting with bullae at the fingertips. The differential diagnosis for this presentation also includes herpetic whitlow, epidermolysis bullosa, bullous impetigo, and friction blisters.
authors.affiliation: Center for Clinical Studies, Houston, TX, USA rkollipara@ccstexas.com.
authors.forename: Ramya
authors.initials: R
authors.lastname: Kollipara
authors.affiliation: Center for Clinical Studies, Houston, TX, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Downing
authors.affiliation: Center for Clinical Studies, Houston, TX, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Lee
authors.affiliation: Center for Clinical Studies, Houston, TX, USA.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Guidry
authors.affiliation: Dermatological Association of Texas, Houston, TX, USA.
authors.forename: Samantha
authors.initials: S
authors.lastname: Robare-Stout
authors.affiliation: Center for Clinical Studies, Houston, TX, USA Dermatological Association of Texas, Houston, TX, USA Department of Dermatology, University of Texas Health Science Center at Houston, Houston, TX, USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Tyring
mesh_terms: D000328:Adult; D001768:Blister / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D005385:Fingers / Q000473:pathology*; D006229:Hand Dermatoses / Q000175:diagnosis / Q000473:pathology*; D006801:Humans; D008297:Male
keywords: adult; blistering distal dactylitis