Trunk Vesicles

Vesicles on the trunk include those on the chest,back and abdomen.

The commonest causes of vesicles in these areas would be atopic eczema followed by contact eczema.Herpes zoster will form unilateral or dermatomal vesicles before they form pustules or blisters.Chickenpox will be trunkal before spreading elsewhere.The transient vesicles of dermatitis herpetiformis will congregate over the shoulders and back in a symmetrical fashion.

SIGN DIP MEN  Overview of Vesicles

 

S-Squamous    Eczema or Contact dermatitis,Vesicular Darier’s disease,Vesicular tinea,

 

I-Infective      Herpes simplex and Zoster,Chickenpox,Vesicular tinea pedis,Hand foot and mouth disease,Molluscum,Erysipelas,

 

G-Granulomatous

 

N-Neoplastic   Lymphangioma circumsciptum

 

D-Drugs   Fixed drug reaction

 

I-Immunological  Atopic eczema,nummular eczema and allergic contact eczema, All the immunobullous diseases have a milder vesicular stage but especially Dermatitis Herpetiformis,

 

P-Physical   Polymorphous light eruption,Scabies(children and immunosupressed),Miliaria,Caterpillar dermatitis,Insect bite reactions,

 

M-Metabolic   Porphyria cutanea tarda,

 

E-Endocrine

 

N-Nutritional