45 year old female with Scaly lesion since 4 years. No itching. It's not Tinea nor Psoriasis. 1.Identify the condition 2.how to differentiate from its other variant. 3. Possible treatment options.



Sir, Figurate erythematous patches on trunk and extremities, looks like erythrokeratodermia variabilis et progressiva. DD: Ichthyosis linearis circumflexa (Erythematous, double edged scaling).

Erythrokeratodermia Variabilis is correct madam.

erythrokeratoderma /bit A deficiency/lichen simplex

Erythrokeratoderma variabilis sir? As u told to dr vasunda its variant of spek

Nutritional Deficiency?

Erythrokeratoderma variabilis sir If the patient is affordable and no contraindications acitretin can be sarted at 0.5mg/kg sir with topical emollients and kertolytics sir

Correct madam

Annular epidermolytic icthyosis?

@Dr. Avitus John Raakesh Prasad - lichen simplex chronicus?

No madam it's a case of EKV ErythroKeratodermia Variabilis Little tough case.

Progressive Erythrokeratoderma symmetrica sir

It's not Symmetrical madam just have a close look at the legs, it's the other variant. Excellent madam. Please discuss on the other parts of the question so others can learn madam. Thank you madam.

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Thanks for sharing this pic sir.. Erythrokeratoderma variabilis

Large plaque parapsoriasis???

Madam It's a keratinising disorder...
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