Make the Diagnosis: What Lies Beneath These Crusted Hands?

(MedPage Today) -- Case Findings: A 53-year-old man with a history of alcoholism presented with erosions on his hands. He said that they had started as vesicles, but now some of them had crusted. He had also noticed some hypertrichosis on his temples, along with redness of his face, which he thought was unusual. What is your diagnosis?