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Images of Memorable Cases: Case 34

Module by: Herbert L. Fred, MD, Hendrik A. van Dijk

Case_34-pres1-1.jpg Case_34-pres1-2.jpg

Case_34-pres1-3.jpg

This AIDS patient presented with a pruritic eruption over most of his body. The lesions appeared as sharply demarcated, thick plaques with distinct borders and silvery scales.

34. Hyperkeratotic psoriasis

Biopsies from several plaques established the diagnosis. In patients with AIDS, psoriasis is often severe and refractory to conventional therapy. The differential diagnosis includes Norwegian scabies, mycosis fungoides, and keratoderma blenorrhagica.

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