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Fig. 1. (a) Erythematous plaques with yellowish scaling on the right buttock. (b) Hypoplasia of the right hand. Physical examination at birth revealed hypoplasia of the right arm and shortening of the right leg. At the age of 6 months, onychodystrophy had appeared on her right hand and skin lesions were first noted at 1 year. The skin abnormalities gradually extended until the age of 14 years and involved the right inner thigh, popliteal area, sole and neck. Punch biopsy of the lesional skin revealed hyperkeratosis, parakeratosis, acanthosis with irregular elongation of rete ridges and lymphocytic infiltrates.

Unilateral Erythematous Lesions with Wax-like Scaling and Limb Abnormalities: A Quiz