Thomas 3 classified them as "erythema exudativum multiforme," "major" and "minor ... spots on the skin of her legs and on her soles and palms. She consulted a second physician, who noted an ...

Initially, patients may present with perifollicular erythema. In later stages this will be replaced by confluent scaly plaques. Hyperkeratosis and itching on the palms and soles are common.