PMC3699941_01
Clinical aspect on the dorsum of the hands. Fixed and well-defined symmetrically distributed erythematous-scaly plaques
abd-88-0109-g01.jpg
PMC3699941_01_abd-88-0109-g01.jpg
f01
Dermatological exams evidenced fixed, finely scaly, symmetric erythematous keratotic plaques on the dorsum of the hands, interphalangeal pads, wrists, elbows, groin and feet (Figures 1,2,3,4).
Histopathology stained by Hematoxilin Eosin. HE, 100x. An orthokeratotic hyperkeratosis in a basket-weave pattern. Presence of moderate acanthosis and focus of thickened granular layer
abd-88-0109-g05.jpg
PMC3699941_01_abd-88-0109-g05.jpg
f05
A biopsy of the dorsum of the right foot revealed discrete papillomatosis and acanthosis, orthokeratotic hyperkeratosis in a basket-weave pattern and maintenance of the granular layer, thus eliminating the main hypothesis of psoriasis (Figure 5).