A male patient had a red area on their lower back. On palpation the skin felt thickened, but there was no tenderness, scale, ulceration, telangiectasia or excoriations. The immediately adjacent skin looked normal and rest of the body had only a few scattered seborrhoeic keratoses. The nails, buccal mucosa and scalp were also normal on examination.

The patient reported no previous treatment of the affected areas except for emollients which he applied daily to all of his skin. What could be the most probable diagnosis for this condition? * This image based case is from Docplexus editorial team for educative purpose only. Source: Haymarket