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*No previous skin complaint
 
*No previous skin complaint
 
*Gradually worsening intense pruritus of the face, elbows and pinnae
 
*Gradually worsening intense pruritus of the face, elbows and pinnae
*On presentation
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**The right pinna was alopecic with skin thickening and crusting
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==Clinical Examination==
**Bilateral, periorbital alopecia  
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**Patches of alopecia and erythema laterally on both forelimbs, near the elbow
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*The right pinna was alopecic with skin thickening and crusting
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*Bilateral, periorbital alopecia  
 +
*Patches of alopecia and erythema laterally on both forelimbs, near the elbow
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