Nargile (Hubble‐Bubble) smoking‐induced hand eczema

A 65‐year‐old retired man with hand eczema presented to the Dermatology clinic in October of 2001. He complained of scaly, fissured plaque‐type lesions over the radial margin of his right index finger and thumb ( Fig. 1 ). He first noticed these changes 2 years ago.There was no history of irritation from his occupation. None of the other family members were affected. There was no history of atopy or psoriasis.