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This AIDS patient presented with a pruritic eruption over most of his body. The lesions appeared as sharply demarcated,thick plaques with distinct borders and silvery scales.

34. hyperkeratotic psoriasis

Biopsies from several plaques established the diagnosis. In patients with AIDS, psoriasis is often severe and refractory toconventional therapy. The differential diagnosis includes Norwegian scabies, mycosis fungoides, and keratoderma blenorrhagica.

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Source:  OpenStax, Images of memorable cases: 50 years at the bedside. OpenStax CNX. Dec 08, 2008 Download for free at http://cnx.org/content/col10449/1.7
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