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By Kaare Weismann; Henrik F Lorentzen; Carsten Sand; LEO Pharma

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Scale is also less exuberant and erythema less uniform. Like AD, nummular eczema may cause extreme pruritus, especially in the elderly (197–200). Eczema versus psoriasis 184–187 Atopic dermatitis. Compared with psoriasis, lesions tend to be less vivid, well-defined, and scaly. 188–191 Psoriasis. ’ The plaque precedes the eruption of smaller (1–2-cm) patches, papules, and thin plaques on the trunk and proximal extremities, developing 1–2 weeks later. Classically, lesions develop along skin cleavage lines and display a thin rim of scale.

Gentle scraping of the surface will elicit silvery scale. 61 62 203 204 205 206 207 Pityriasis rubra pilaris versus psoriasis 203–209 Pityriasis rubra pilaris. Note the more yellow- orange hue and follicular appearance. 210–213 Psoriasis. Pityriasis rubra pilaris The scaly plaques of pityriasis rubra pilaris (PRP) strongly evoke psoriasis. Indeed, PRP was originally described as a psoriasis subtype6. Decades later, dermatologists began to appreciate the distinct orange hue and follicular distribution of PRP.

Eczema versus psoriasis 184–187 Atopic dermatitis. Compared with psoriasis, lesions tend to be less vivid, well-defined, and scaly. 188–191 Psoriasis. ’ The plaque precedes the eruption of smaller (1–2-cm) patches, papules, and thin plaques on the trunk and proximal extremities, developing 1–2 weeks later. Classically, lesions develop along skin cleavage lines and display a thin rim of scale. This ‘Christmas-tree’ distribution and ‘collarette’ of scale help to distinguish PR from guttate psoriasis.

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