A 60-year-old female patient presented with a one-year history of an erythematous, scaly and irregular lesion on the sole of her right foot. Patient history: Treatment of the antifungal cream and cortisone cream did not show any improvement. The patient has had no known exposures to any new drugs, chemicals, paints, toxins, irritants or other potential allergens. She is currently taking a thyroid supplement but denies taking any other medications, vitamins or supplements.
Her husband recently died due to heart failure and no one else in her household or within her family has any similar conditions. Examination: Examination of the plantar aspect of the patient’s right foot reveals an obvious lesion that demonstrates a slightly elevated, red, irregular, scaly plaque with surface fissures. What is the most probable diagnosis of non-inflammatory lesion? *This image based case is from…