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Figure 1. Diffuse plantar erythema, thickening, and scaling(B & C) extend onto the dorsum of the feet (A).
Figure 2. Diffuse palmar thickening, with erythema and scaling
on the wrist and thenar eminence of the right hand (B) extending onto the dorsum of the hand (A). Similar changes were
noted on the left hand.
Figure 3. (A) Early pseudo-ainhum formation over the
interphalangeal joints. (B) Exaggerated longitudinal curvature
of the fingernails along with pits and horizontal grooves. A triangular
lunula is also noted.
Figure 4. (A) An exophytic outgrowth from the right
toe, likely indicating granulation tissue post-pyogenic site infection.(B) Onychodystrophy with prominent onychogryphosis of the 2nd
toenail of the left foot.
Figure 5. Loss of multiple secondary dentition with some
inflammation of right lower gingival tissue noted.
Figure 6. (A) Hypopigmented, atrophic plaque on right elbow.(B) Hypopigmented patch on the right knee.
Figure 7. (A) Increased spacing of secondary dentition with
signs of gingival inflammation. (B) Well-demarcated ulcerated
plaque with alopecia on the scalp. (C) Plantar erythema,
hyperkeratosis, and scaling.