case_images: PMC5389222_01
case_images: Multiple crusted plaques over trunk
case_images: IJSTD-38-81-g001.jpg
case_images: PMC5389222_01_IJSTD-38-81-g001.jpg
case_images: F1
case_images: Cutaneous examination revealed multiple erythematous dry crusted plaques of variable size and shapes ranging from smallest < 0.5 cm to largest 10 cm x 10 cm over the trunk, distributed mainly over the trunk [Figures 1 and 2], both extremities, both palms and soles (keratoderma blenorrhagicum) [Figure 3], with sparing the scalp, face, and flexures.
case_images: Multiple crusted plaques over buttocks
case_images: IJSTD-38-81-g002.jpg
case_images: PMC5389222_01_IJSTD-38-81-g002.jpg
case_images: F2
case_images: Cutaneous examination revealed multiple erythematous dry crusted plaques of variable size and shapes ranging from smallest < 0.5 cm to largest 10 cm x 10 cm over the trunk, distributed mainly over the trunk [Figures 1 and 2], both extremities, both palms and soles (keratoderma blenorrhagicum) [Figure 3], with sparing the scalp, face, and flexures.
case_images: Keratoderma blenorrhagicum - soles
case_images: IJSTD-38-81-g003.jpg
case_images: PMC5389222_01_IJSTD-38-81-g003.jpg
case_images: F3
case_images: Cutaneous examination revealed multiple erythematous dry crusted plaques of variable size and shapes ranging from smallest < 0.5 cm to largest 10 cm x 10 cm over the trunk, distributed mainly over the trunk [Figures 1 and 2], both extremities, both palms and soles (keratoderma blenorrhagicum) [Figure 3], with sparing the scalp, face, and flexures.
case_images: Circinate balanitis
case_images: IJSTD-38-81-g004.jpg
case_images: PMC5389222_01_IJSTD-38-81-g004.jpg
case_images: F4
case_images: There was single erosion with crusting of 1 cm x 1 cm size over the glans penis [Figure 4] with surrounding erythematous skin and sparing other mucosae.
case_images: Histopathology showing marked hyperkeratosis, focal parakeratosis, with spongiosis, irregular rete ridges and few micro abscesses in the epidermis and predominantly lymphocytic infiltrate in perivascular area in the dermis
case_images: IJSTD-38-81-g005.jpg
case_images: PMC5389222_01_IJSTD-38-81-g005.jpg
case_images: F5
case_images: Finger nails showing coarse pitting, yellowish discoloration, transverse ridges and subungual hyperkeratosis
case_images: IJSTD-38-81-g006.jpg
case_images: PMC5389222_01_IJSTD-38-81-g006.jpg
case_images: F6
case_images: On histopathology of skin biopsy, there were marked hyperkeratosis, focal parakeratosis, spongiosis, irregular elongation of rete ridges, and few microabscesses in the epidermis and predominantly perivascular lymphocytic infiltrate in the dermis [Figure 6].
case_images: X-ray hip joint (AP view) showing reduced joint space
case_images: IJSTD-38-81-g007.jpg
case_images: PMC5389222_01_IJSTD-38-81-g007.jpg
case_images: F7
case_images: Radiographic study of hip joint revealed reduced joint space and that of spine revealed calcification of the anterior ligament [Figures 7 and 8].
case_images: X-ray spine (AP view) showing calcification in spine
case_images: IJSTD-38-81-g008.jpg
case_images: PMC5389222_01_IJSTD-38-81-g008.jpg
case_images: F8
case_images: Radiographic study of hip joint revealed reduced joint space and that of spine revealed calcification of the anterior ligament [Figures 7 and 8].