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Erythrokeratodermia Figurata Variabilis. Presented by Helen O. Curth, MD.
The patient is a girl who is now 14 years of age. She is normal or average in all respects except for a dermatosis that is recurrent for many years. It is said that since childhood an eruption, first on the lower extremities, then on the upper extremities also, would appear in the latter parts, or beginnings, of years and disappear in the summer. Lately, it has been appearing in the summer too. The eruption is described as red blotches that change constantly and are thought to be precipitated by cold and heat. A tendency to general amelioration seems to be taking place over the years.Upon examination now, in a period of eruption, one sees well-circumscribed hyperkeratotic plaques bordered in brown and red on the knuckles and dorsa of the hands, on the knees, and on the posterolateral aspects of
Curth HO, Silver H, Leider M. THE DERMATOLOGIC SOCIETY OF GREATER NEW YORK. Arch Dermatol. 1967;96(5):602-606. doi:10.1001/archderm.1967.01610050124022