Primary Clinical Features and Distribution

Distribution usually involves the flexural surfaces, particularly the antecubital fossae (inner elbow) and popliteal fossae (inner knee), and the face and neck.

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  Hypopigmented lichenified plaques of the inner arms.

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  Flexural eczema with prominent lichenification, fissures, and superficial erosions.

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  Periorbital erythematous plaques with white scale.

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  Lichenified erythematous plaques on the neck and chest.

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  Eczema of the feet and lower extremities with lichenification and scattered fissures.

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  Hyper- and hypopigmented lichenified plaques on the hands and wrists.