42 years old male, started 3 months ago with profound malais | Figure 1

rAndrieux

Internal Medicine

42 years old male, started 3 months ago with profound malaise, sleepiness in the day, this pruriginous lesions in his legs, he states that 1 week before 2 toe nails get out without intention and without pain, he was previously managed with anti-mycotic drugs with no improvement. He has had an unintentional weight loss in the previous 3 months of 5%. At the total skin examination we only found this images. The rest of the examination is normal. What do you guys think?

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