Long-term scaly skin

By Christopher Chu and Adam Rees, MD


A 45-year-old male presented for evaluation with a complaint of scaly skin since childhood. Physical exam revealed superficial scaling of his trunk and extremities that had spared the antecubital and popliteal fossae.

His palms and soles were mildly scaly. In the winter months, the man develops eczema and is significantly itchy. When the ...