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An otherwise healthy 71-year-old woman presented with generalised asymptomatic skin rash. The rash had begun as itchy eruptions over both hands 2 months previously and gradually progressed since. Initially, it had been diagnosed by her family physician as eczema and was treated with topical corticosteroids; the rash had worsened after 3 weeks of corticosteroid therapy. There were no other complaints suggestive of any systemic involvement. She did not suffer from any neuropsychiatric disorder. None of the cohabiting family members were affected. Examination revealed …
Contributors AS contributed to conception, initial drafting of the manuscript, critical revision of content and final approval of the manuscript. SC, DBB, AP, AD and EJP contributed to conception, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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 Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.