3rd July 2023

A 22-year-old female is concerned about an itchy rash on her hands. She works as a PE teacher at a school

A 22-year-old female is concerned about an itchy rash on her hands. She works as a PE teacher at a school and has recently started running a summer tennis camp. The rash has worsened since starting this.

On examination, you note vesicles on her fingers and palms of her hands with no underlying erythema. She has a history of asthma for which she uses a salbutamol inhaler.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.