23/05/2026
What’s your diagnosis? 🤔
A patient presented with:
🔸 Intensely itchy chronic plaques
🔸 Thick hyperkeratotic / verrucous nodules
🔸 Predominant shin involvement
🔸 Post-inflammatory hyperpigmentation & excoriations
What would be your top differential? 👇
A) Hypertrophic lichen planus
B) Verrucous psoriasis
C) Prurigo nodularis
D) Chromoblastomycosis
🩺 Chronic itchy verrucous plaques on the legs should always be evaluated carefully. Dermoscopy and sometimes biopsy are essential to rule out mimickers and chronic inflammatory dermatoses.
📍Ali Medical Clinic F-8
📞 051-8090200
📍Islamabad Specialist Clinic F-8
📞 0343-8530063
SkinDisease Dermatologist PruriticPlaques MedicalEducation IslamabadDermatologist