PMC3937494_01
(a) Coarse facial features with a prominent forehead, a broad nasal bridge, broad outer canthal distance, (b, d) Diffuse erythematous plaque with scaling and lichenification, (c) Talipes cavus
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F1
His facial abnormalities was obvious including a prominent forehead, a broad nasal bridge, deep set eyes, broad outer canthal distance [Figure 1a]. Chronic eczematous dermatitis including a diffuse erythematous with scaling and lichenification spread through his face, entire trunk and extremities [Figure 1b, d]. Hyperextensible joints including scoliosis and talipes cavus [Figure 1c] were also seen.
Nonspecific histological feature with mild epidermal hyperkeratosis, exocytosis of neutrophils, papillary edema, infiltration of lymphocytes and dilated capillaries (H and E, x100)
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F2
In the dermis, papillary edema, infiltration of lymphocytes and dilated capillaries in superficial dermis were prominent [Figure 2].
Maxillofacial X-ray showing retained primary dentition of the left maxillary first molar.
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F3
Maxillofacial X-ray showed primary dentition of the left maxillary first molar was retained [Figure 3] and X-ray of feet showed features of talipes cavus.