Skin condition i havent seen before

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Had a patient today that had a bit of an unknown skin condition. It started at his abdomen down to his toes. The main details:

• Age 65
• NIDDM - control not ideal
• Cirrhosis of the liver

Also he currently has mild tinea interdigital 3/4 + 4/5 BF.





He told me his GP thinks its verrucae and hasn't seen a dermatologist. He is really not concerned at all about it but I was more interested to see what the experts here thought. My guess would be a type of psoriasis or eczema. Maybe a mild case of Ichthyosis vulgaris???

thought it was worth sharing anyway.

p.s. sorry about the photos, only had the camera on my phone available

 

As if by magic ..... I reckon it`s another case of necrobiosis lipoidica diabeticorum.

Hmmm, interesting. How was this diagnosed? Does he suffer from proliferation of immature liver cells?

Cheers,
The Shopkeeper

 

very good point. Think I had skin on my mind.

original post updated