Skin Rash (Management) — 30yo Woman | Dermatology | MCCQE1 Q#13607

MCCQE1 Question #13607

Dimension of Care

Chronic Care

Activity

Management

Objective

Skin Rash

Section

Medicine / Family Medicine

Subject

Dermatology

Last updated: February 2026
A 30-year-old woman presents with a 2-week history of intensely pruritic, painful, small fluid-filled lesions on the palms, lateral fingers, and soles. She reports two similar self-limited episodes in the past after periods of increased stress. She frequently washes her hands and uses alcohol-based sanitizers at work. Examination shows multiple 1–3 mm deep-seated tense vesicles on the palms and sides of the fingers, with a few shallow erosions and mild scale. There is no honey-coloured crusting, burrows, or mucosal involvement. Which of the following is the most appropriate treatment?
Full answer analysis and choices are available inside the practice session.