Purple, flat and furious
A 45-year-old has weeks of intensely itchy violet bumps on both wrists and the shins, and white streaks inside the cheeks.
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Presentation
A 45-year-old presents with six weeks of intensely itchy shiny purple bumps that began on the flexor wrists and have thickened into plaques on the shins. White lace-like streaks are visible inside both cheeks.