Lewandowsky-Lutz dysplasia

Oh, Kevin… what a visual! Eek. Thanks for sharing this fascinoma, though. I’ve posted it on my blog and asked a few dermatology colleagues to weigh in. If we’re lucky we may even get Stephen Stone, President of the AAD to add a comment. No harm in asking…

oh god. I am so disturbed. There should have been a warning. Not all readers are doctors on here. I have a particular aversion to skin problems. sigh…the image will be plastered in my head now for months. On the plus side, at least I won’t be eating any fried chicken for a while.

Any chance of you writing this one up and publishing it on our internet journal?

I’ve never heard of this dysplasia. Very dramatic. I saw the foot picture on Unbounded Medicine. Looks almost as bad as Unna Thost (PPK).

Sorry , I’m a little embarrassed , I noticed you pulled this off another site. Anways, this condition looks more like a PPK or hyperkeratosis, which is an autosomal-dominant disease. These are not macules or papules, so I’m not really sure this would be considered Lew-Lutz, which is viral. Many times, these conditions have fungal and viral infections superimposed over a genetic hyperkeratosis. It may be more in line with Unna Thost disease. Have cultures or biopsies been done, etc.?