Published: 19 March 2019
Author(s): Halil Yildiz, Liliane Marot, Jean Cyr Yombi
Issue: April 2019
Section: Letter to the Editor

A 74-year-old man was admitted for diffuse skin lesions since several months. His past medical history included type 2 diabetes, hypertension, chronic heart failure and chronic kidney disease. Skin lesions were first diagnosed as severe psoriasis and treated with Psoralen and Ultraviolet A (PUVA), oral steroids and methotrexate. Despite this treatment, the patient state worsened and lesions became more extensive (Fig. 1A-B), painfull and bleeding easily. Skin biopsies were then performed. What is the diagnosis?


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