Case 130

Medical history

Female patient, 17-year-old, previously healthy, is attended in the emergency unit of Belo Horizonte city reporting sudden appearance of lesions in the 1st and 2nd toes on day before. The patient denies local pain or other symptoms, the physical exam shows no others problems. She denies contact with any harmful substance or the use of any medication. She also reports that was on vacation in a house farm of the family for three days, but have not get contact with any animal.

Based on clinical history and image presented, which most likely diagnosis?

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