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Cellulitis

Cellulitis is an acute bacterial infection characterized by a warm, tender, and spreading erythema with ill-defined borders, unlike the dry, cracked surface of asteatotic eczema.

Contact dermatitis

This is an inflammatory reaction to a specific trigger and would be more vesicular or weepy, not defined by the characteristic "cracked pavement" dryness of asteatotic eczema.

Necrobiosis lipoidica

This presents as a waxy, atrophic, yellowish plaque, a different primary morphology than the superficial cracking and scaling of asteatotic eczema.

Psoriasis

Psoriasis on the legs presents with well-demarcated, silvery-scaled plaques, not the fine, superficial "crazy-paving" pattern of asteatotic eczema.

Stasis dermatitis

While also on the lower legs, stasis dermatitis is defined by underlying edema, swelling, and brownish discoloration from venous insufficiency, which are not primary features of asteatotic eczema.

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