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History

An elderly gentleman developes itchy legs following admission into hospital for congestive heart failure. He denies any prior skin problems. His new medications include aspirin, captopril, frusemide and KCl, and he has applied no creams.

On examination, he has dry, scaly rashes over the lower legs. There is no associated swelling, blistering nor pigmentation, and the rest of his skin generally dry but is otherwise normal.