A 33-year-old male patient presented with recurrent paronychia. His past medical history included atopy with hay fever and AD in his childhood. The AD had been treated with cyclosporine, and steroids had been used to manage eczema. He had no history of psoriasis. Over the last one year, the man developed changes in his nails in conjunction with painful swelling of the joints of his hands (image). X-ray of the hands showed entheseal expansion of the distal interphalangeal joints.
Whole body examination revealed AD on the back of his knees and erythematous patches with lichenification, scaling, and excoriation was noticed. The patient had an elevated IgE level (689 IU/mL). CRP was within normal range and the rheumatoid factor was not detected. Can you diagnose the condition? Reference : Case Reports in Dermatological Medicine ##Disclaimer## The content provided on Docplexus is…
