case_images: PMC3699941_01
case_images: Clinical aspect on the dorsum of the hands. Fixed and well-defined symmetrically distributed erythematous-scaly plaques
case_images: abd-88-0109-g01.jpg
case_images: PMC3699941_01_abd-88-0109-g01.jpg
case_images: f01
case_images: 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).
case_images: 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
case_images: abd-88-0109-g05.jpg
case_images: PMC3699941_01_abd-88-0109-g05.jpg
case_images: f05
case_images: 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).