A Clinical Atlas of 101 Common Skin Diseases

Clinical Case Challenge

What is your diagnosis?
Misha Rosenbach, MD
Participate in the Clinical Case Challenge to enhance your knowledge and ability to diagnose common skin conditions.

Question 1 of 1


Contributed by Misha Rosenbach, MD

A 57-year-old male patient presents for evaluation of persistently pruritic lesions on his trunk, back, arms, and legs. He has diabetes, hypertension, and chronic renal insufficiency and has been on hemodialysis 3 times weekly for 6 months. He is intermittently compliant and sometimes skips both medications and dialysis treatment.

  • The rash is very pruritic
  • It has been present for months
  • On exam the patient has thickened hyperpigmented papules superimposed on a background of xerotic, lichenified skin
What is your diagnosis?