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40-something yo female from Guatemala with several year history of pruritic rash of lower extremities. Previously treated with a topical abx/mod potency steroid from Guatemala that failed to resolve the rash. Labs and biopsy where done - attempted to rule out #Cryoglobulinemia, and it was ruled out...ended up being psoriasis. Resolved with high potency steroid/calcipotriene ointment. Educational case bc small lesions, location, and next to no scale completely tricked me! Thought I'd share.