Skin Lesion | Figure 1

ReginaldoCastro

Internal Medicine
Skin Lesion

A skin Lesion on the right leg. The lesion is hyperchromic, well delimited and it has a desquamation of surface.

Patient complains of intense itching at the site.

He was treated with ketoconazole, but without improvement.

Male patient, 50 years old. He has high blood pressure and diabetes. He is using Losartan 50 mg/day and Insulin NPH 32 IU/day.

What is the diagnosis?

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