case_images: PMC10859040_01
case_images: Appearance of red-orange, well-defined plaques of bilateral lower extremities as well as significant postinflammatory cutis laxa of the skin
case_images: cureus-0016-00000052155-i01.jpg
case_images: PMC10859040_01_cureus-0016-00000052155-i01.jpg
case_images: FIG1
case_images: Physical exam revealed well-defined, red-orange plaques on the bilateral upper and lower extremities (Figure 1) with an overlying scale around the elbows (Figure 2) as well as post-inflammatory cutis laxa.
case_images: Appearance of well-defined erythematous coalescing plaques on the right upper extremity.
case_images: cureus-0016-00000052155-i02.jpg
case_images: PMC10859040_01_cureus-0016-00000052155-i02.jpg
case_images: FIG2
case_images: Physical exam revealed well-defined, red-orange plaques on the bilateral upper and lower extremities (Figure 1) with an overlying scale around the elbows (Figure 2) as well as post-inflammatory cutis laxa.
case_images: Punch biopsy stained with hematoxylin-eosin at 4x magnification, demonstrating alternating parakeratosis and orthokeratosis vertically and horizontally, acanthosis, follicular plugging, and scant perivascular lymphohistiocytic infiltrate. Arrow 1: irregular acanthosis; Arrow 2: alternating parakeratosis; Arrow 3: orthokeratosis (arrow 3); Arrow 4: follicular plugging; Arrow 5: scant lymphocytic infiltrate
case_images: cureus-0016-00000052155-i03.jpg
case_images: PMC10859040_01_cureus-0016-00000052155-i03.jpg
case_images: FIG3
case_images: Histopathological findings revealed irregular acanthosis (arrow 1), alternating parakeratosis (arrow 2) with orthokeratosis (arrow 3) vertically and horizontally, follicular plugging (arrow 4), and scant lymphocytic infiltrate (arrow 5), as can be seen in Figure 3.