Blistering Distal Dactylitis Resembling a Finger Dipped in Milk Cream

Blistering distal dactylitis is an uncommon condition resulting from superficial skin infection, leading to bullous eruption in the distal phalanx. In rare instances, the extent of the lesion beyond classical presentation is reported. The most commonly described causative agent is Staphylococcus aureus and the condition has a good prognosis if diagnosed and managed early. We report a rare presentation of blistering distal dactylitis in the form of an extensive involvement of the affected finger with purulent bullous formation. The drainage of the pus and appropriate antibiotics led to the good outcome. The knowledge of the characteristic clinical picture of blistering distal dactylitis and its varied presentations shall help it diagnose early in routine clinics.