Spot Dx — Can you nail down the cause of these dermatologic changes?
A 22-year-old male presents with a five-year history of bilateral nail discolouration, thickening and irregular appearance.
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A 22-year-old male presents with a five-year history of bilateral nail discolouration, thickening and irregular appearance.
The patches of irregular skin thickening and redness gradually progressed to involve other areas, including the scalp and natal cleft. He denies joint pain or other systemic features.
