Published on
Download the article PDF: Clinical Challenges June 2025
A 55-year-old woman presents to urgent care because of skin dryness and scaling on her legs that developed 2 weeks prior. The patient was recently diagnosed with psoriasis by a different provider and was treated with a combination therapy of tazarotene and a topical steroid for over 4 weeks. Diffuse dryness and white scales were seen on her legs.
View the image below and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

55-Year-Old With Diffusely Dry Skin
1 2