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A 50-year-old man presented for evaluation of painful, bleeding lesions on his body of 3 days’ duration. His medical history was significant for chronic plaque-type psoriasis of 15 years’ duration. Examination revealed well defined, erythematous plaques with multiple curvilinear and circular, tender haemorrhagic erosions, ulcers and fissures on top of these and an almost normal intervening skin on both the upper and lower limbs, predominantly extensor aspect (figure 1). The lesions involved his palms and soles too. There was diffuse erythema in the oral cavity.
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