Can we ensure that children with public insurance have access to necessary, high-quality pediatric specialty care?

摘要

This patient presented with chronic palmoplan-tar papulosquamous dermatitis. The differential for this condition includes palmoplantar psoriasis, atypical juvenile pityriasis rubra pilaris, palmoplantar keratoderma, and extensive dermato-phyte infection. A skin biopsy with additional histologi-cal staining for dermatophyte elements can help distinguish between these entities. A skin punch biopsy was performed for this patient, and the results showed epithelial hyperplasia, loss of the granular skin layer with prominent dermal capillaries, and a mixed dermal infiltrate of lymphocytes, macrophages, and neutrophils, all consistent with hyperkeratotic palmoplantar psoriasis.