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.

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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.
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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
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Annular epidermolytic icthyosis?

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

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