A patient presents with 'tapioca-like' vesicles on the palms and soles. The histology shows significant spongiosis. What is the diagnosis?
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Correct answer: Dysidrotic eczema
Dysidrotic eczema (pompholyx) is a type of spongiotic dermatitis affecting the hands and feet. The thick stratum corneum in these areas prevents the vesicles from rupturing easily, giving them a deep-seated appearance.
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