Case 1077 (R. Carr) M65. Biopsy ankle. Chronic liver disease. ?Bullous dermatosis
Striking, confluent dense parakeratosis. Dilated capillaries but no inflammation. Epidermis often shows pallor (not seen here)
DD: Necrolytic acral erythema – rare association of hepatitis C infection. Psoriasiform lesions, both clinically and histologically; more acanthosis and inflammation than with acrodermatitis enteropathica.
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