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Fitzpatrick's Color Atlas Case Archive
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| January 3, 2010 | 
Enlarge Picture | A 55-year-old male presented with recalcitrant psoriasiform dermatosis on hands and feet for 9 years
A painful dermatosis had been present on the hands for 9 years. Previous ineffective treatments included topical clobetasol, prednisone, phototherapy (PUVA and narrow-band UVB), etanercept. Previous medical history included history of heroin addiction, hepatitis C with cirrhosis, type 2 diabetes mellitus. Lesional biopsy was reported as psoriasis.
On examination, sharply marginated plaques are seen on the dorsum of both hands with slight involvement of the palmar surface. Fingernails are normal. Similar findings were noted on the feet and ankles.
What is your diagnosis?
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