SANTOS, Vitorino Modesto dos Internal Medicine of Catholic University - Armed Forces Hospital - Internal Medicine, Brazil , LOURES, Thiago Pereira Internal Medicine of Catholic University - Armed Forces Hospital - Internal Medicine, Brazil , SILVA, Fabio Henrique de Oliveira Internal Medicine of Catholic University - Armed Forces Hospital - Internal Medicine, Brazil , SANTOS, Alessandra Maria Rodrigues Oliveira Internal Medicine of Catholic University - Armed Forces Hospital - Internal Medicine, Brazil , CARVALHO, Kayursula Dantas de Internal Medicine of Catholic University - Armed Forces Hospital - Internal Medicine, Brazil

An old man with desquamative extensor skin lesions and periorbital changes

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A 62-year-old male patient presenting with schizophrenia, arterial hypertension, and non-dialysable renal failure was referred to our service because of acute urinary infection. He was chronically using amlodipine, quetiapine, clonazepan, and levopromazine. Since a young age, he had undergone dermatological evaluations, including skin biopsies, because of recurrent episodes of desquamative plaques over the skin of extensor regions. There was no evidence of joint involvement nor any classical nail deformities, and he had often used oral or topical corticosteroids to control the cutaneous lesions. During the last two years, he claimed pruritus on the eyelids and periorbital areas. On admission, he was obese, hypertensive, without lymph node enlargements or visceromegaly; and presented with an ocular mucopurulent discharge, erythematous changes and inspissations of the eyelids.

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Marmara Medical Journal

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