What’s this dermatosis? Over a four-week period, a 48-year-old guy developed almost universal reddish scaling epidermis with islands of sparing . The procedure had started on the facial skin and scalp and progressed over his trunk and arms and subsequently to his hip and legs. His palms and soles were included in a thick level of keratin with an orange hue. There was no previous background of an identical episode. The patient had not been on any medications. Your skin biopsies demonstrated a thickened epidermis and a loose laminated stratum corneum with retained nuclei .This article is normally republished with kind authorization from our friends at The Kaiser Family members Foundation. You will see the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery of in-depth coverage of wellness policy developments, debates and discussions. The Kaiser Daily Wellness Policy Report is published for Kaisernetwork.org, a free program of The Henry J. Kaiser Family Foundation. Copyright 2009 Advisory Board Organization and Kaiser Family Basis. All rights reserved. Regardless of when or where an error occurs, the prospect of patient harm is high, especially for patients who receive potentially irreversible treatment as a result.