A 59-year-old man had peeling skin in his right-hand since 20 years. Apart from a slight soreness and itch, and the nuisance of flaking skin, it did not trouble him unduly. He assumed it to be dermatitis and avoided contact with detergents by wearing cotton-lined rubber gloves and tried a variety of creams and ointments. But when he noticed changes in his nails and a rash on the backs of his hands and on his feet he finally sought help from his physician, who took skin scrapings and nail clippings from the hand.
What is the differential diagnoses and management? * This image based case is from Docplexus editorial team for educative purpose only. Source: Haymarket group
