PMC6532491_01
Psoriasiform papules and plaques over the palms
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F1
On examination, multiple, discrete, 3-5 mm erythematous, scaly, psoriasiform papuloplaques were present over the palms [Figure 1].
Ill-defined psoriasiform plaques over the glans penis with peripheral collarette of scales
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F2
The glans penis showed ill-defined psoriasiform plaques with peripheral collarette of scales [Figure 2].
(a) Psoriasiform hyperplasia and acanthosis of the epidermis (H and E, x10) and (b) there is dense perivascular as well as diffuse lymphoplasmacytic infiltrate within the superficial dermis (H and E, x40)
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F3
A skin biopsy from the lesion over the palm was done and it showed hyperkeratosis, parakeratosis, acanthosis, and a lymphohistiocytic infiltrate with plasma cells in the dermis concentrated mainly in the periadnexal areas [Figure 3a and b].