The attached images are of a 27-year-old woman 34 weeks pregnant with a rash on her hands since the first trimester. She denied pain or pruritus and had a similar eruption during her first pregnancy which resolved after delivery. Her past medical history was significant only for gestational diabetes. Physical Exam : The patient had well demarcated erythematous patches symmetrically over her distal phalanges as well as her thenar and hypothenar eminences.

The areas completely blanched with pressure. What diagnosis can be inferred for this patient? *This case is from Docplexus Editorial team for educative purpose only Source: Washington School of medicine