10th August 2020

A 67-year-old male patient who has recently taken retirement has noticed increasingly gross discomfort and grotesque appearance of both his hands

A 67-year-old male patient who has recently taken retirement has noticed increasingly gross discomfort and grotesque appearance of both his hands characterised by extensive blistering and fluid filled sacs. By his recollection it came about when he recently started gardening. He has recently brought new tools with metal coating to help plant carrots in his backyard. He has never had anything like this before. No previous history of eczema, psoriasis or allergic reaction to substances in the past. He is otherwise fit and well, with no significant past medical or surgical history. He has no regular medication or confirmed allergies.

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.