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A 34-year-old man was referred from psychiatry department with a 4-week history of erythematous scaly lesions over his scalp and upper extremities, with associated acneiform eruptions over the face. Historically, the patient was a diagnosed case of type II bipolar disease, receiving lithium carbonate daily for past 6 months. He was not taking any other medication. Clinical examination revealed well-defined erythematous scaly papules and plaques with white semiadherent scales with mild-to moderate induration over the scalp, chest, back and upper extremities (figures 1 and 2). Additionally, he had skin-coloured to erythematous …
Contributors AG and TCY had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: AG. Acquisition, analysis and interpretation of data: AG and TCY. Drafting of the manuscript: AG. Critical revision of the manuscript for important intellectual content: AG and TCY.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; internally peer reviewed.