Firm, red plaques 
and xerotic skin

A 52-year-old man with a history of type 2 diabetes, hypertension, and hyperlipidemia presented with a rash on his bilateral lower extremities. He stated that he often gets edema on his lower extremities, especially after standing for long periods of time. He recently developed pruritic reddish areas that became progressively more indurated and complained of very xerotic skin.

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