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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.