Initial differential diagnosis without further history or a
detailed physical exam may involve contact dermatitis from
jewelry, herpes zoster, trauma, malignancy.
However, the history is most relevant and the examination of the
entire skin makes the diagnosis clear.
This lady got burned because her pressure cooker malfunctioned
and when she went to open it, the black beans literally expanded
and burned her.
This is a primary and secondary burn secondary to hot black
beans.