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Some vesicular eruptions can be diagnosed based entirely upon their history and appearance.
Vesicular eruption of the hands may also be caused by a local infection, with fungal infections, like Athlete's foot being the most common.
It starts after being exposed to the summer sun as a vesicular eruption, then becomes umbilicated, and in the end there is a chickenpox-like scar.
The classical presentation of zoster is a painful or pruritic unilateral vesicular eruption with a dermatomal distribution.
Some patients reject this link to stress, though as a trigger of vesicular eruption it cannot be overlooked, as with other types of eczema.