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Asteatotic eczema

Eczema due to dry skin, especially in the elderly, characterized by a 'crazy-paving' or cracked porcelain appearance on the shins.

Capillaritis

A benign condition with chronic, non-palpable, cayenne-pepper-like petechial macules that become confluent on the shins.

Cellulitis

A bacterial infection of the skin presenting as a warm, tender, ill-defined, and spreading area of erythema and swelling.

Contact dermatitis

An eczematous rash in a pattern that corresponds to contact with an allergen, such as dyes or elastics in socks.

Erythema induratum

A lobular panniculitis presenting as tender, violaceous nodules on the posterior lower legs (calves) that frequently ulcerate.

Erythema nodosum

A septal panniculitis presenting as the sudden onset of tender, erythematous, non-ulcerating subcutaneous nodules on the anterior lower legs (shins).

Livedoid vasculopathy

A chronic condition with recurrent, painful, punched-out ulcers on the lower legs and ankles that heal to form characteristic star-shaped white scars (atrophie blanche).

Necrobiosis lipoidica

Typically on the shins of diabetics, this condition presents as a waxy, atrophic, yellowish plaque with a violaceous, raised border and prominent telangiectasias.

Psoriasis

Commonly presents on the shins and knees with well-demarcated, erythematous plaques with a thick, silvery-white scale.

Stasis dermatitis

An eczematous rash on the lower legs caused by chronic venous insufficiency, with associated edema, reddish-brown discoloration (hemosiderin), and risk of ulceration.

Vasculitis

Inflammation of small blood vessels causing characteristic palpable purpura (non-blanching red/purple spots) that are most prominent on the lower legs.

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