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Full-body Lichenification

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This patient presented with a one month history of progressive lichenification

Full-body Lichenification

This patient presented with a one month history of progressive lichenification, with fine scale developing over his whole body, starting at the feet and sparing the face and nails. The patient had worked in a chicken coop for the past 3 years.

A KOH scraping of the skin was negative. This case remains undiagnosed, and the differential is wide, including atopic dermatitis with secondary lichenification, Norwegian scabies, and syphilitic dermatitis, among others. 

View this image on Figure 1 to learn more.

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