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Clearly demarcated erythematous rash

Summary by Dataemia
This man in his early 70s presented with a two year history of an itchy rash on his lower limbs. He had initially had a diagnosis of psoriasis and was treated with topical clobetasol propionate. Although the itch improved with this treatment, the rash persisted and worsened. On examination, there was clearly demarcated erythema on both feet and lower legs, and thickening, deformation, and discoloration of the toenails (fig 1). Fungal cultures of…
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Dataemia broke the news in on Thursday, April 3, 2025.
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