a) acquired ichthyosis _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯

b) asteatotic eczema _ _ _ _ _ _ _ _ _ _ Correct ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯

c) lichen planus _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯

d) neurodermatitis _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯

e) psoriasis _ _ _ _ _ _ _ _ _ _ Wrong answer ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯

Answer and Commentary _ _ _ _ _ _ _ _ _ _ In the elderly patient, dryness of the skin is often most marked on the lower legs. This dryness may develop a cracked crazy paving appearance with eczema developing in the cracks (craquele eczema). The regular use of soap on the legs may aggravate the dryness and precipitate the eczema. ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯